Organization
MED DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANA RODRIGUEZ DDS (PRESIDENT)
(954) 437-2117
Entity
Organization
Contact information
Practice address
7200 NW 7TH ST STE 333, MIAMI, FL 33126-2955
(305) 264-0063
(305) 264-0065
Mailing address
7200 NW 7TH ST STE 333, MIAMI, FL 33126-2955
(305) 264-0063
(305) 264-0065
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076093500
—
FL
Enumeration date
05/09/2013
Last updated
05/09/2013
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