Individual
IRA ROTHSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
8903 GLADES RD, SUITE D6, BOCA RATON, FL 33434-4074
(561) 483-0072
Mailing address
511 SE 5TH AVE, UNIT 906, FT LAUDERDALE, FL 33301-2984
(954) 829-4757
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN18792
FL
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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