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Organization
ROADS DENTAL SPECIALTY GROUP
Active
Organization
ROADS DENTAL SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA C EAGAN DDS (PRESIDENT)
(305) 856-1134
Entity
Organization
Contact information
Practice address
1378 CORAL WAY, 5TH FLOOR, MIAMI, FL 33145-2943
(305) 856-1134
(305) 239-9452
Mailing address
1378 CORAL WAY, 5TH FLOOR, MIAMI, FL 33145-2943
(305) 856-1134
(305) 239-9452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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