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Individual

DR. ROSS ANDREW HAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1722 SW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2504
(772) 337-8600
Mailing address
101 E CAMINO REAL APT 1041, BOCA RATON, FL 33432-6181
(954) 695-5489

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN21896
FL
1223P0300X
Periodontics
Primary
DN21896
FL

Other

Enumeration date
02/22/2016
Last updated
06/02/2021
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