Healthcare Provider Details

I. General information

NPI: 1225683170
Provider Name (Legal Business Name): SAENZ DENTAL CENTER CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2019
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8345 S.W. 24 STREET
MIAMI FL
33155-1138
US

IV. Provider business mailing address

9743 NW 30TH ST
DORAL FL
33172-1081
US

V. Phone/Fax

Practice location:
  • Phone: 305-249-1076
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ROGER ANTONIO SAENZ
Title or Position: PRESIDENT
Credential: DDS
Phone: 305-898-9228