Provider Demographics
NPI:1841641792
Name:TRENKOVA, VIOLETA (DMD)
Entity type:Individual
Prefix:
First Name:VIOLETA
Middle Name:
Last Name:TRENKOVA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 HOLLYWOOD BLVD # 5012
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6557
Mailing Address - Country:US
Mailing Address - Phone:954-266-2999
Mailing Address - Fax:954-967-8141
Practice Address - Street 1:162 N POWERLINE RD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33069-2514
Practice Address - Country:US
Practice Address - Phone:954-970-7067
Practice Address - Fax:954-970-5171
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN21962122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program