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Individual

DR. MATT HARRIS ROSTOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1928 COMMERCE LN, SUITE#6, JUPITER, FL 33458-5598
(561) 575-2868
Mailing address
1928 COMMERCE LN, SUITE#6, JUPITER, FL 33458-5598
(561) 575-2868

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN9714
FL

Other

Enumeration date
05/13/2007
Last updated
05/13/2008
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