Dejanovic, Rafaela
Dejanovic, Rafaela is an sole proprietor health care provider with primary practice located at 1701 E Hallandale Beach Blvd , Hallandale Beach FL 33009-4621. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is her primary health care specialty. Dejanovic, Rafaela can be contacted via phone (954) 779-3000.Contact Information
Primary practice address
1701 E Hallandale Beach Blvd
Hallandale Beach FL 33009-4621
Phone: (954) 779-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10777 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Dentist | 122300000X | DN22457 | Florida |
Profile Details
| NPI number | 1013379346 |
|---|---|
| LBN Legal business name | Dejanovic, Rafaela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 2016 |
| Last updated | Jun 3rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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