Provider Demographics
NPI:1841494648
Name:ANGULO, LILIANA MARGARITA (DDS)
Entity type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:MARGARITA
Last Name:ANGULO
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 1:614 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1964
Mailing Address - Country:US
Mailing Address - Phone:786-999-3446
Mailing Address - Fax:305-445-9768
Practice Address - Street 1:614 E 49TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1964
Practice Address - Country:US
Practice Address - Phone:786-999-3446
Practice Address - Fax:305-445-9768
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN176391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice