NPI | 1255825600 |
---|---|
Doing Business As | ROSENBERG ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | LEAH ANN MAYLOTT Credentialing Administrator 860-874-8198 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-06-19 |
Last Update Date | 2022-10-19 |