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Individual
DR. LANDI JENNIFER ROSENAU
Active
Individual
DR. LANDI JENNIFER ROSENAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10814
NC
1223G0001X
General Practice Dentistry
Primary
9798
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10814
DENTAL LISENCE
NC
01
—
9798
DENTAL LISENCE
SC
Enumeration date
07/21/2017
Last updated
08/10/2021
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