# CANCER DENTAL SPECIALISTS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457990277
- **Authorized official:** DR. EVAN ROSEN DMD (PRESIDENT)
- **Authorized official phone:** (305) 742-7175

## Contact information

- **Practice address:** 8900 N KENDALL DRIVE, MIAMI CANCER INSTITUTE, MIAMI, FL 33176
- **Practice address phone:** (786) 527-7803
- **Mailing address:** 11301 S DIXIE HWY UNIT 565664, PINECREST, FL 33256-7234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2019
- **Last updated:** 01/23/2020