Individual provider · Type 1 NPI

Benita Janine De Mirza, DMD

Pediatric Dentistry · Wellington, FL

NPI number 1861668451 Active

Practice location

190 Professional Way
Wellington, FL 33414-6391

Fax (561) 486-1445

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDN21675 (FL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1861668451

Benita Janine De Mirza, DMD's National Provider Identifier is 1861668451, issued on May 2, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Wellington, FL. The record was last updated on Jan 9, 2026.