| Rosenthall Orthodontics Pc | |
|
610 South Tillotson Avenue Suite 210 Muncie IN 47304-4450 | |
| (765) 289-2377 | |
| (765) 289-3909 |
| Full Name | Rosenthall Orthodontics Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 610 South Tillotson Avenue, Muncie, Indiana |
| Authorized Official Name and Position | Mark R Rosenthall (PRESIDENT) |
| Authorized Official Contact | 7652892377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosenthall Orthodontics Pc 610 South Tillotson Avenue Suite 210 Muncie IN 47304-4450 Ph: (765) 289-2377 | Rosenthall Orthodontics Pc 610 South Tillotson Avenue Suite 210 Muncie IN 47304-4450 Ph: (765) 289-2377 |
| NPI Number | 1760586887 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760586887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 12010065 (Indiana) | Primary |
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