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NPI Code Detail

MEDICARE: DR. JEFFREY ROLAND RASHBAUM D.D.S.

MEDICARE:  DR. JEFFREY ROLAND RASHBAUM  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry5292FL

General Provider Information

NPI Number : 1902957731
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY ROLAND RASHBAUM D.D.S.
Provider Business Mailing Address
First Line : 3113 STIRLING RD
Second Line : SUITE 101
City : HOLLYWOOD
State : FL
Zip : 33312
Country : US
Telephone Number : 954-981-5333
Fax Number : 954-985-3883
Provider Business Practice Location Address
First Line : 3113 STIRLING RD
Second Line : SUITE 101
City : HOLLYWOOD
State : FL
Zip : 33312
Country : US
Telephone Number : 954-981-5333
Fax Number : 954-985-3883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 08/04/2008

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Directions to “ DR. JEFFREY ROLAND RASHBAUM D.D.S.” Practice Location

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