Individual
DEBORAH ROYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6411 W WATERS AVE, TAMPA, FL 33634-1140
(813) 886-7000
Mailing address
1770 N WICKHAM RD, MELBOURNE, FL 32935-8122
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14080
FL
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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