Provider Demographics
NPI:1417841636
Name:DOBRAN, ROXANNA (DMD)
Entity type:Individual
Prefix:
First Name:ROXANNA
Middle Name:
Last Name:DOBRAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ROXANNA
Other - Middle Name:
Other - Last Name:ROMAN QUERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8025 VIA HACIENDA
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7856
Mailing Address - Country:US
Mailing Address - Phone:561-315-0014
Mailing Address - Fax:
Practice Address - Street 1:24 S 500 W STE D
Practice Address - Street 2:
Practice Address - City:BOUNTIFUL
Practice Address - State:UT
Practice Address - Zip Code:84010-7188
Practice Address - Country:US
Practice Address - Phone:801-296-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14223814-99261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice