Organization
DENTAL 192
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D. ROPPA (OWNER)
(630) 551-5423
Entity
Organization
Contact information
Practice address
100 W NEW HAVEN AVE, MELBOURNE, FL 32901-4303
(630) 659-5293
Mailing address
100 W NEW HAVEN AVE, MELBOURNE, FL 32901-4303
(630) 659-5293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN17681
FL
1223G0001X
General Practice Dentistry
Primary
DN17724
FL
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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