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Individual

DR. JANICE ROUSELLE DEFELICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
226 S DIXIE HWY, HALLANDALE BEACH, FL 33009-5436
(954) 454-3883
(954) 454-1901
Mailing address
250 180TH DR, 304, SUNNY ISLES BEACH, FL 33160-2796
(305) 542-6644

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17618
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ELTOQC
FL
Enumeration date
12/05/2006
Last updated
07/09/2007
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