| Clive Rosenbusch, Bds | |
|
2499 Glades Rd Suite 307 Boca Raton FL 33431-7209 | |
| (561) 394-7888 | |
| (561) 394-4007 |
| Full Name | Clive Rosenbusch, Bds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2499 Glades Rd, Boca Raton, Florida |
| Authorized Official Name and Position | Clive Rosenbusch (OWNER) |
| Authorized Official Contact | 5613947888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clive Rosenbusch, Bds 2499 Glades Rd Suite 307 Boca Raton FL 33431-7209 Ph: (561) 394-7888 | Clive Rosenbusch, Bds 2499 Glades Rd Suite 307 Boca Raton FL 33431-7209 Ph: (561) 394-7888 |
| NPI Number | 1184789885 |
|---|---|
| Provider Enumeration Date | 12/25/2006 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184789885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9306 (Florida) | Primary |
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