Provider Demographics
NPI:1023595394
Name:BRZOZA, DAFNA A (DDS)
Entity type:Individual
Prefix:DR
First Name:DAFNA
Middle Name:A
Last Name:BRZOZA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:DAFNA
Other - Middle Name:A
Other - Last Name:BRZOZA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DAFNA BRZOZA
Mailing Address - Street 1:3640 YACHT CLUB DR APT 907
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3571
Mailing Address - Country:US
Mailing Address - Phone:130-591-5238
Mailing Address - Fax:
Practice Address - Street 1:3640 YACHT CLUB DR APT 907
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3571
Practice Address - Country:US
Practice Address - Phone:130-591-5238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25379122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist