| Sandy Rosenberg Dmd Pl | |
|
1725 Village Way Orange Park FL 32073-5263 | |
| (904) 265-6500 | |
| (904) 264-0995 |
| Full Name | Sandy Rosenberg Dmd Pl |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1725 Village Way, Orange Park, Florida |
| Authorized Official Name and Position | Sanford R Rosenberg (DENTIST/OWNER) |
| Authorized Official Contact | 9042646500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Rosenberg Dmd Pl 1725 Village Way Orange Park FL 32073-5263 Ph: (904) 265-6500 | Sandy Rosenberg Dmd Pl 1725 Village Way Orange Park FL 32073-5263 Ph: (904) 265-6500 |
| NPI Number | 1497120612 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497120612 | NPI | - | NPPES |
| 622498 | Other | FL | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6981 (Florida) | Primary |
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