Provider Demographics
NPI:1447846613
Name:ROJAS MOREY, NATHALIE (RDH)
Entity type:Individual
Prefix:
First Name:NATHALIE
Middle Name:
Last Name:ROJAS MOREY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5329 SOUTHWICK DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-4125
Mailing Address - Country:US
Mailing Address - Phone:813-562-2235
Mailing Address - Fax:
Practice Address - Street 1:2307 S DALE MABRY HWY STE C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-6322
Practice Address - Country:US
Practice Address - Phone:813-254-6838
Practice Address - Fax:813-254-4779
Is Sole Proprietor?:No
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLR225-620896090124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist