Scott Randall Rosenberg D.M.D.

NPI 1700807146 - Dentist - 1223G0001X

NPI Details
NPI 1700807146
Gender Male
Enumeration Date 07/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
910 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE FL, 34986-1766, US
Phone (772) 785-9515
Fax (772) 785-5308
Business Location
910 SW SAINT LUCIE WEST BLVD
PORT ST LUCIE FL, 34986-1766, US
Phone (772) 785-9515
Fax (772) 785-5308
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN11154
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According to our database, Scott Randall Rosenberg D.M.D. NPI is 1700807146, taxonomy code is 1223G0001X and license number is DN11154, license state is located at Florida. Scott Randall Rosenberg D.M.D. physically located at 910 Sw Saint Lucie West Blvd, Port St Lucie FL, 34986-1766. NPI Number Scott Randall Rosenberg D.M.D. has the Individual type.

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1700807146 NPI number is provided on an as is basis without warranty of any kind. 1700807146 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Randall Rosenberg D.M.D. are for informational purposes only.