Provider Demographics
NPI:1063895076
Name:LOBAINA, KARINA MARIA (DDS)
Entity type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:MARIA
Last Name:LOBAINA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10775 SW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-7043
Mailing Address - Country:US
Mailing Address - Phone:786-360-4219
Mailing Address - Fax:786-360-4217
Practice Address - Street 1:10775 SW 56TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-7043
Practice Address - Country:US
Practice Address - Phone:786-360-4219
Practice Address - Fax:786-360-4217
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 211531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice