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Individual

DR. JACK D ROSENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
951 BROKEN SOUND PKWY, 185, BOCA RATON, FL 33487-3507
(561) 999-9650
(561) 998-8340
Mailing address
951 BROKEN SOUND PKWY, 185, BOCA RATON, FL 33487-3507
(561) 999-9650
(561) 998-8340

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17726
FL

Other

Enumeration date
01/08/2008
Last updated
01/08/2008
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