Provider Demographics
NPI:1093903676
Name:SAENZ, ROGER ANTONIO (DDS)
Entity Type:Individual
Prefix:
First Name:ROGER
Middle Name:ANTONIO
Last Name:SAENZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9743 NW 30TH ST
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1081
Mailing Address - Country:US
Mailing Address - Phone:305-898-9228
Mailing Address - Fax:305-885-7682
Practice Address - Street 1:752 W 29TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5606
Practice Address - Country:US
Practice Address - Phone:305-885-9786
Practice Address - Fax:305-885-7682
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14217122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist