| NPI | 1033224605 |
|---|---|
| Other Name | FAWN ROSENBERG DMD FAGD |
| Entity Type | Organization |
| Authorized Contact | FAWN E ROSENBERG Dentist/Owner 781-861-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA MA16173) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 10473) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-05-02 |