Provider Demographics
NPI:1316163710
Name:ROJAS, BLANCA PATRICIA (DDS)
Entity type:Individual
Prefix:
First Name:BLANCA
Middle Name:PATRICIA
Last Name:ROJAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 N UNIVERSITY DR STE 208
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6098
Mailing Address - Country:US
Mailing Address - Phone:954-393-0303
Mailing Address - Fax:954-393-0118
Practice Address - Street 1:1881 N UNIVERSITY DR STE 208
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6098
Practice Address - Country:US
Practice Address - Phone:954-393-0303
Practice Address - Fax:954-393-0118
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN161071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics