Provider Demographics
NPI:1245211317
Name:ROJAS, TAMARA (DMD, PA)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:DMD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 NE 135TH ST #207
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-3565
Mailing Address - Country:US
Mailing Address - Phone:305-945-2906
Mailing Address - Fax:
Practice Address - Street 1:5000 HOLLYWOOD BOULEVARD
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021
Practice Address - Country:US
Practice Address - Phone:954-963-4700
Practice Address - Fax:954-966-1801
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN164331223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics