RICHARD G ROSIVACK

UNION, NJ
NPI1497822597
Professional NameR GLENN ROSIVACK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NJ  13763)
Enumeration Date2006-11-30
Last Update Date2017-05-02
Business Address
-- RICHARD G ROSIVACK DMD
381 CHESTNUT ST
UNION, NJ 07083-9430
Phone number: 908-686-2082
Mailing Address
-- RICHARD G ROSIVACK DMD
381 CHESTNUT ST
UNION, NJ 07083-9430
Phone number: 908-686-2082