| Rossy Pediatric Dentistry, Llc | |
|
11 Heather Ln Randolph NJ 07869-3332 | |
| (908) 510-2654 | |
| Not Available |
| Full Name | Rossy Pediatric Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11 Heather Ln, Randolph, New Jersey |
| Authorized Official Name and Position | Stephanie Rossy (MEMBER) |
| Authorized Official Contact | 9085102654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rossy Pediatric Dentistry, Llc 477 Route 10 E Building 1, Unit 2 Randolph NJ 07869-2142 Ph: (973) 989-9040 | Rossy Pediatric Dentistry, Llc 11 Heather Ln Randolph NJ 07869-3332 Ph: (908) 510-2654 |
| NPI Number | 1578922951 |
|---|---|
| Provider Enumeration Date | 02/15/2016 |
| Last Update Date | 02/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578922951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21D102443800 (New Jersey) | Primary |
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