Provider Demographics
NPI:1982057865
Name:SANTELI, RENATA (DMD)
Entity Type:Individual
Prefix:DR
First Name:RENATA
Middle Name:
Last Name:SANTELI
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 1:6880 ABBOTT AVE APT 311
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3821
Mailing Address - Country:US
Mailing Address - Phone:786-252-0900
Mailing Address - Fax:
Practice Address - Street 1:6880 ABBOTT AVE APT 311
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3821
Practice Address - Country:US
Practice Address - Phone:786-252-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 22091122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist