Provider Demographics
NPI:1154926723
Name:SANDRA ROJAS DMD P.A.
Entity type:Organization
Organization Name:SANDRA ROJAS DMD P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:305-799-6056
Mailing Address - Street 1:12012 S SHORE BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6398
Mailing Address - Country:US
Mailing Address - Phone:561-721-9777
Mailing Address - Fax:561-721-9778
Practice Address - Street 1:12012 S SHORE BLVD STE 211
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6398
Practice Address - Country:US
Practice Address - Phone:305-799-6056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty