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1073532727
ROGER THOMAS IVEY
KISSIMMEE, FL
NPI
1073532727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: FL DN17404)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
ROGER THOMAS IVEY DDS.
1875 BOGGY CREEK RD
KISSIMMEE, FL 34744-4428
Phone number: 407-343-2000
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Mailing Address
ROGER THOMAS IVEY DDS.
1050 GRAPE AVE
SAINT CLOUD, FL 34769-3965
Phone number: 407-343-2003
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