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ELAINE SIMONE DE ROODE D.D.S

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1740432913

Individual Registrant:
 ELAINE SIMONE DE ROODE D.D.S
Gender: F
Sole Proprietor

Location and contact information for practice:
745 CRANDON BLVD APT 307  KEY BISCAYNE, FL 33149-2509 US
Tel: 305-361-1077  Fax: --

Contact information for business:
745 CRANDON BLVD APT 307  KEY BISCAYNE, FL 33149-2509 US
Tel: 305-361-1077  Fax: --

Registration Information:
NPI: 1740432913
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
FLDN16695

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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