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General NPI Number Information
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NPI Number | 1215895420
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Entity Type | Organization
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Legal Business Name | MRS DENTAL PA
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 10188 NW 31ST ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3913
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Country | US
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Telephone | 954-752-4044
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Fax | 954-755-1572
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Provider Business Mailing Address
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Address Line | 10188 NW 31ST ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3913
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Country | US
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Telephone | 954-752-4044
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Fax | 954-755-1572
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Authorized Official
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Title or Position | OWNER
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Name | MELANIE R ROTHBERG
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Credential | DMD
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Telephone | 954-752-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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