Most Relevant Information
Provider Data
| NPI Number: | 1003210436 |
| Provider Name: | CLIVE ROSENBUSCH |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN9306 |
Most Important Dates
| Enumeration Date: | 10/14/2014 |
| Last Updated: | 10/14/2014 |
Provider Practice Location
2499 GLADES RD
SUITE 307
BOCA RATON
FL
334317202
Practice Location Phone/Fax
| Phone: | 5613947888 |
| Fax: |
Provider Mailing Location
2499 GLADES RD
SUITE 307
BOCA RATON
FL
334317202
Provider Mailing Phone/Fax
| Phone: | 5613947888 |
| Fax: |