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Organization
PETER A. ROSA DDS, MD PC
Active
Organization
PETER A. ROSA DDS, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT DALLMANN (BILLING MANAGER)
(212) 206-6465
Entity
Organization
Contact information
Practice address
1049 5TH AVE, SUITE 1A, NEW YORK, NY 10028-0115
(212) 861-1961
(212) 861-0561
Mailing address
1049 5TH AVE, SUITE 1A, NEW YORK, NY 10028-0115
(212) 861-1961
(212) 861-0561
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
252964
NY
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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