| Fawn Rosenberg Dmd Fagd | |
|
922 Waltham Street Suite 202 Lexington MA 02421 | |
| (781) 861-6008 | |
| (781) 240-0264 |
| Full Name | Fawn Rosenberg Dmd Fagd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 922 Waltham Street, Lexington, Massachusetts |
| Authorized Official Name and Position | Fawn E Rosenberg (DENTIST/OWNER) |
| Authorized Official Contact | 7818616008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fawn Rosenberg Dmd Fagd 922 Waltham Street Suite 202 Lexington MA 02421 Ph: (781) 861-6008 | Fawn Rosenberg Dmd Fagd 922 Waltham Street Suite 202 Lexington MA 02421 Ph: (781) 861-6008 |
| NPI Number | 1033224605 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 05/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033224605 | NPI | - | NPPES |
| X11765 | Other | BLUECROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 10473 (Massachusetts) | Secondary |
| 1223G0001X | Dentist - General Practice | MA16173 (Massachusetts) | Primary |
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