Dental 192

NPI #1346689791 in Melbourne, Florida

Provider Information

NPI Number: 1346689791
Entity Type: Organization
Organization Name: Dental 192
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 19, 2013
Last Updated: Jun 19, 2013

Practice Location

Address: 100 W NEW HAVEN AVE
City: Melbourne
State: Florida
ZIP Code: 32901-4303
Phone: (630) 659-5293

Authorized Official

Name: DR. JAMES D. ROPPA
Title: OWNER
Phone: (630) 551-5423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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