| Doctor Name: | DR. RENAN LEONARDO BUITRAGO |
| NPI Number: | 1306007547 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.D.S. |
| License Number: | DN014325 |
| Business Practice Address: | 6595 Abbey Rd Parkland, FL - 330671649 |
| Business Phone Number: | 9175743822 |
| Business Fax Number: | |
| Mailing Address: | 6595 Abbey Rd, PARKLAND |
| State: | FL |
| Postal Code: | 330671649 |
| Phone Number: | 9175743822 |
| Fax Number: | |
| NPI Enumeration Date: | 06/20/2008 |
| NPI Last Update Date: | 12/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0700X |
| License Number: | DN014325 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Prosthodontics |
| Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |