Provider Demographics
NPI:1134496037
Name:ROSENFELD, DALIA (DDS)
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:
Last Name:ROSENFELD
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 1:545 SE 12TH ST APT 201
Mailing Address - Street 2:
Mailing Address - City:DANIA
Mailing Address - State:FL
Mailing Address - Zip Code:33004-4627
Mailing Address - Country:US
Mailing Address - Phone:347-554-9110
Mailing Address - Fax:
Practice Address - Street 1:8351 W ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-7454
Practice Address - Country:US
Practice Address - Phone:954-341-0002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-20
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 195971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry