ROGER D. CLAY, D.D.S., P.A.
Dentist at Indian River Blvd, Vero Beach, FL

License number
Florida DN15948
Category
Dentist
Type
General Practice
Owner
Name: DR. ROGER DEAN CLAY D.D.S.
Title: PRESIDENT
Phone: (772) 770-2225
Address
Address
1515 Indian River Blvd STE A140, Vero Beach, FL 32960
National Provider ID: 1205919719
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROGER D. CLAY, D.D.S., PA

1515 Indian Riv Blvd SUITE A-140, Vero Beach, FL 32960

Industry:
Dentist's Office, Dentists, Oral Surgeons
Registration:
Dec 31, 2002
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
State ID:
P02000135467
Business type:
Florida Profit Corporation
President, Secretary:
Roger Dd.d.s. Clay (President, Secretary), 1578 Shorelands Dr E, Vero Beach, FL 32963 (Physical)
Agent:
Roger Clay,1578 Shorelands Dr E, Vero Beach, FL 32963 (Physical)
EIN:
510451927

Dentist licenses in Florida