Provider Demographics
NPI:1952534158
Name:TRIANA, LAUREN D (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:D
Last Name:TRIANA
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 1:9 ISLAND AVE APT 1709
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-1341
Mailing Address - Country:US
Mailing Address - Phone:786-271-7879
Mailing Address - Fax:
Practice Address - Street 1:9541 SW 72ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3247
Practice Address - Country:US
Practice Address - Phone:305-595-1239
Practice Address - Fax:305-595-1241
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2016-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 183361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice