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Organization
ROOT DENTAL, PA
Active
Organization
ROOT DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK L ROOT DMD (PRESIDENT)
(772) 569-0123
Entity
Organization
Contact information
Practice address
3755 20TH PL, VERO BEACH, FL 32960-2302
(772) 569-0123
(772) 569-9070
Mailing address
3755 20TH PL, VERO BEACH, FL 32960-2302
(772) 569-0123
(772) 569-9070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12057
FL
Other
Enumeration date
04/12/2007
Last updated
06/05/2014
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