| NPI | 1265997142 |
|---|---|
| Other Name | ROSELAND COMMUNITY HOSPITAL DENTAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | ROBERT VAIS CFO 773-995-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |