Clive Rosenbusch

NPI #1003210436 in Boca Raton, Florida

Provider Information

NPI Number: 1003210436
Entity Type: Individual
Name: Clive Rosenbusch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Oct 14, 2014
Last Updated: Oct 14, 2014

Practice Location

Address: 2499 GLADES RD
Address 2: SUITE 307
City: Boca Raton
State: Florida
ZIP Code: 33431-7202
Phone: (561) 394-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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