| Farel A. Rosenberg Dds Inc | |
|
11633 Hawthorne Blvd 500 Hawthorne CA 90250-2321 | |
| (310) 644-4412 | |
| Not Available |
| Full Name | Farel A. Rosenberg Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11633 Hawthorne Blvd, Hawthorne, California |
| Authorized Official Name and Position | Farel Rosenberg (OWNER) |
| Authorized Official Contact | 3106444412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farel A. Rosenberg Dds Inc 11633 Hawthorne Blvd 500 Hawthorne CA 90250-2321 Ph: (310) 644-4412 | Farel A. Rosenberg Dds Inc 11633 Hawthorne Blvd 500 Hawthorne CA 90250-2321 Ph: (310) 644-4412 |
| NPI Number | 1689025538 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 06/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689025538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 17997 (California) | Primary |
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