Rafaela Dejanovic

NPI #1013379346 in Hallandale Beach, Florida

Provider Information

NPI Number: 1013379346
Entity Type: Individual
Name: Rafaela Dejanovic
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Mar 25, 2016
Last Updated: Jun 3, 2021

Practice Location

Address: 1701 E HALLANDALE BEACH BLVD
City: Hallandale Beach
State: Florida
ZIP Code: 33009-4621
Phone: (954) 779-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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