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Organization
CANCER DENTAL SPECIALISTS, PA
Active
Organization
CANCER DENTAL SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN ROSEN DMD (PRESIDENT)
(305) 742-7175
Entity
Organization
Contact information
Practice address
8900 N KENDALL DRIVE, MIAMI CANCER INSTITUTE, MIAMI, FL 33176
(786) 527-7803
Mailing address
11301 S DIXIE HWY UNIT 565664, PINECREST, FL 33256-7234
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
01/23/2020
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