Healthcare Provider Details

I. General information

NPI: 1316163710
Provider Name (Legal Business Name): BLANCA PATRICIA ROJAS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 N UNIVERSITY DR STE 208
CORAL SPRINGS FL
33071-6098
US

IV. Provider business mailing address

1881 N UNIVERSITY DR STE 208
CORAL SPRINGS FL
33071-6098
US

V. Phone/Fax

Practice location:
  • Phone: 954-393-0303
  • Fax: 954-393-0118
Mailing address:
  • Phone: 954-393-0303
  • Fax: 954-393-0118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN16107
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: