Provider Demographics
NPI:1407848179
Name:ROZINOV, ISABELLA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ISABELLA
Middle Name:
Last Name:ROZINOV
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ISABELLA
Other - Middle Name:
Other - Last Name:ROZINOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PA
Mailing Address - Street 1:1800 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1484
Mailing Address - Country:US
Mailing Address - Phone:954-427-4321
Mailing Address - Fax:954-427-2385
Practice Address - Street 1:1800 W HILLSBORO BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1484
Practice Address - Country:US
Practice Address - Phone:954-427-4321
Practice Address - Fax:954-427-2385
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN131631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice