| Rosenthall Orthodontics | |
|
610 South Yillotson Avenue Suite 210 Muncie IN 47304-4450 | |
| (765) 289-2377 | |
| (765) 289-3409 |
| Full Name | Rosenthall Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 610 South Yillotson Avenue, Muncie, Indiana |
| Authorized Official Name and Position | Mark R Rosenthall (OWNER) |
| Authorized Official Contact | 7652892377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosenthall Orthodontics 610 South Yillotson Avenue Suite 210 Muncie IN 47304-4450 Ph: (765) 289-2377 | Rosenthall Orthodontics 610 South Yillotson Avenue Suite 210 Muncie IN 47304-4450 Ph: (765) 289-2377 |
| NPI Number | 1497906556 |
|---|---|
| Provider Enumeration Date | 10/08/2008 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497906556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12010065 (Indiana) | Primary |
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