Provider Demographics
NPI:1386957744
Name:REGINA H. SAENZ, DDS, P.A.
Entity type:Organization
Organization Name:REGINA H. SAENZ, DDS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,PA
Authorized Official - Phone:305-245-6633
Mailing Address - Street 1:950 N KROME AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4455
Mailing Address - Country:US
Mailing Address - Phone:305-245-6633
Mailing Address - Fax:305-245-9633
Practice Address - Street 1:950 N KROME AVE STE 204
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4455
Practice Address - Country:US
Practice Address - Phone:305-245-6633
Practice Address - Fax:305-245-9633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15235261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery