Individual
ELAINE SIMONE DE ROODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
745 CRANDON BLVD APT 307, KEY BISCAYNE, FL 33149-2509
(305) 361-1077
Mailing address
745 CRANDON BLVD APT 307, KEY BISCAYNE, FL 33149-2509
(305) 361-1077
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN16695
FL
Other
Enumeration date
10/18/2008
Last updated
10/18/2008
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