Individual
DR. RODRICK HEATH DEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
207 PELHAM RD, FORT WALTON BEACH, FL 32547-3604
(850) 863-3636
(850) 863-3639
Mailing address
207 PELHAM RD, FORT WALTON BEACH, FL 32547-3604
(850) 863-3636
(850) 863-3639
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN15641
FL
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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