Individual
DR. RODERICK M MACINTYRE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.; M.S.
Contact information
Practice address
912 S RIDGEWOOD AVE, SUITE C, DAYTONA BEACH, FL 32114-5349
(386) 252-0858
(386) 253-7004
Mailing address
912 S RIDGEWOOD AVE, SUITE C, DAYTONA BEACH, FL 32114-5349
(386) 252-0858
(386) 253-7004
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN12743
FL
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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