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Organization
ROSE DENTISTRY PC
Active
Organization
ROSE DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK DICICCO DMD (PRESIDENT)
(212) 753-7400
Entity
Organization
Contact information
Practice address
424 MADISON AVE FL 15, NEW YORK, NY 10017-1158
(212) 753-7400
Mailing address
424 MADISON AVE FL 15, NEW YORK, NY 10017-1158
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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