Provider Demographics
NPI:1457494213
Name:ROSEFF, MICHAEL JAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JAY
Last Name:ROSEFF
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Gender:M
Credentials:DMD
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Mailing Address - Street 1:8784 BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-4466
Mailing Address - Country:US
Mailing Address - Phone:561-732-8333
Mailing Address - Fax:561-732-8375
Practice Address - Street 1:8784 BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4466
Practice Address - Country:US
Practice Address - Phone:561-732-8333
Practice Address - Fax:561-732-8375
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2013-12-02
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Provider Licenses
StateLicense IDTaxonomies
FLDN168351223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry