Provider Demographics
NPI:1346341443
Name:REY, ROSALIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROSALIA
Middle Name:
Last Name:REY
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 1:1400 SW ARCHER RD
Mailing Address - Street 2:HEALTH SCIENCE CENTER P.O.BOX 100412
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0001
Mailing Address - Country:US
Mailing Address - Phone:352-273-6941
Mailing Address - Fax:352-392-5606
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:HEALTH SCIENCE CENTER
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-273-6941
Practice Address - Fax:352-392-5606
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN14930122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist