| Root Dental, Pa | |
|
3755 20th Pl Vero Beach FL 32960-2302 | |
| (772) 569-0123 | |
| (772) 569-9070 |
| Full Name | Root Dental, Pa |
|---|---|
| Speciality | Dentist |
| Location | 3755 20th Pl, Vero Beach, Florida |
| Authorized Official Name and Position | Rick L Root (PRESIDENT) |
| Authorized Official Contact | 7725690123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Dental, Pa 3755 20th Pl Vero Beach FL 32960-2302 Ph: (772) 569-0123 | Root Dental, Pa 3755 20th Pl Vero Beach FL 32960-2302 Ph: (772) 569-0123 |
| NPI Number | 1043434210 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043434210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN12057 (Florida) | Primary |
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