| Larry Rosenthal,dmd,pc | |
|
7143 66th Pl Glendale NY 11385-7047 | |
| (718) 497-1728 | |
| (718) 497-2761 |
| Full Name | Larry Rosenthal,dmd,pc |
|---|---|
| Speciality | Dentist |
| Location | 7143 66th Pl, Glendale, New York |
| Authorized Official Name and Position | Larry Rosenthal (DMD) |
| Authorized Official Contact | 7184971728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Rosenthal,dmd,pc 7143 66th Pl Glendale NY 11385-7047 Ph: (718) 497-1728 | Larry Rosenthal,dmd,pc 7143 66th Pl Glendale NY 11385-7047 Ph: (718) 497-1728 |
| NPI Number | 1528197688 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 05/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528197688 | NPI | - | NPPES |
| 00283876 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30696 (New York) | Primary |
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