IRA ROTHSTEIN, DMD, MS
Dentist at Glades Rd, Boca Raton, FL

License number
Florida DN18792
Category
Dentist
Type
Orthodontics and Dentofacial Orthopedics
Address
Address 2
8903 Glades Rd SUITE D6, Boca Raton, FL 33434
511 SE 5Th Ave UNIT 906, Fort Lauderdale, FL 33301
Phone
(561) 483-0072
(954) 829-4757
National Provider ID: 1831463777
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IRA ROTHSTEIN at bizstanding.com

IRA ROTHSTEIN DMD PA

Fort Lauderdale, FL

Status:
Inactive
Industry:
Dentist's Office
Inactive reason:
Reinstatement
Registration:
Jan 17, 2012
Inactive since:
Nov 21, 2013
Addresses:
511 SE 5 Ave 906, Fort Lauderdale, FL 33301 (Physical)
511 SE 5 Ave, Fort Lauderdale, FL 33301
State ID:
P12000005451
Business type:
Florida Profit Corporation
President:
Ira S Rothstein (President), 511 SE 5 Ave #906, Fort Lauderdale, FL 33301 (Physical)
Agent:
Rothstein, Ira,511 SE 5 Ave, Fort Lauderdale, FL 33301 (Physical)
EIN:
45-4274253

Dentist licenses in Florida