Provider Demographics
NPI:1346255890
Name:WISZNIAK, RODICA (DDS)
Entity Type:Individual
Prefix:DR
First Name:RODICA
Middle Name:
Last Name:WISZNIAK
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 1:18205 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 2217
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2106
Mailing Address - Country:US
Mailing Address - Phone:305-935-9414
Mailing Address - Fax:305-935-9902
Practice Address - Street 1:18205 BISCAYNE BLVD
Practice Address - Street 2:SUITE 2217
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-2106
Practice Address - Country:US
Practice Address - Phone:305-935-9414
Practice Address - Fax:305-935-9902
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN122241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice