| NPI | 1497120612 |
|---|---|
| Former Legal Business Name | SANFORD R ROSENBERG DMD PA |
| Entity Type | Organization |
| Authorized Contact | SANFORD R ROSENBERG Dentist/Owner 904-264-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 6981) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |