Individual
DEYANIRA RODRIGUEZ- FUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10075 S JOG RD STE 200, BOYNTON BEACH, FL 33437-3536
(561) 733-8580
Mailing address
841 LYONS RD APT 24205, COCONUT CREEK, FL 33063-6730
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27118
FL
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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