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1306031281
RIVERSIDE DENTAL
SEBASTIAN, FL
NPI
1306031281
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Entity Type
Organization
Authorized Contact
LOUIS R ROQUE
Dentist
772-589-1140
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: FL DN 12242)
Enumeration Date
2007-09-13
Last Update Date
2007-09-13
Business Address
RIVERSIDE DENTAL
9402 N US HIGHWAY 1
SEBASTIAN, FL 32958-6398
Phone number: 772-589-1140
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Mailing Address
RIVERSIDE DENTAL
9402 N US HIGHWAY 1
SEBASTIAN, FL 32958-6398
Phone number: 772-589-1140
Copy
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