Provider Demographics
NPI:1275226805
Name:RODRIGUEZ ROCHA, KAMILA (DMD)
Entity Type:Individual
Prefix:
First Name:KAMILA
Middle Name:
Last Name:RODRIGUEZ ROCHA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11004 SW 38TH LN UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-4440
Mailing Address - Country:US
Mailing Address - Phone:786-521-1750
Mailing Address - Fax:
Practice Address - Street 1:19521 HIGHLAND OAKS DR STE 301
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-9634
Practice Address - Country:US
Practice Address - Phone:239-244-8853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27920122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist