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General NPI Number Information
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NPI Number | 1992312730
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Entity Type | Organization
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Legal Business Name | ROCENT DENTAL CARE, INC.
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 1 SW 129TH AVE STE 406
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1718
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Country | US
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Telephone | 954-435-9559
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Fax | 754-220-9054
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Provider Business Mailing Address
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Address Line | 1 SW 129TH AVE STE 406
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1718
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Country | US
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Telephone | 954-435-9559
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Fax | 754-220-9054
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROXANA RODRIGUEZ
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Credential | DDS
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Telephone | 954-435-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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