Provider Demographics
NPI:1316181803
Name:KLEINER-ARIAS, SHIRLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:
Last Name:KLEINER-ARIAS
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 1:1730 NE 198TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-3148
Mailing Address - Country:US
Mailing Address - Phone:917-609-6528
Mailing Address - Fax:
Practice Address - Street 1:1730 NE 198TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-3148
Practice Address - Country:US
Practice Address - Phone:917-609-6528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 178741223G0001X
NY0516491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice