Provider Demographics
NPI:1942351622
Name:ROCHA, SONIA ARELIS (DDS)
Entity Type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:ARELIS
Last Name:ROCHA
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 1:27400 RIVERVIEW CENTER BLVD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134
Mailing Address - Country:US
Mailing Address - Phone:239-495-7400
Mailing Address - Fax:
Practice Address - Street 1:27400 RIVERVIEW CENTER BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34134
Practice Address - Country:US
Practice Address - Phone:239-495-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN173121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice