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Organization
SANDY ROSENBERG DMD PL
Active
Organization
SANDY ROSENBERG DMD PL
Active
Other names
Sanford R Rosenberg DMD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANFORD R ROSENBERG D.M.D. (DENTIST/OWNER)
(904) 264-6500
Entity
Organization
Contact information
Practice address
1725 VILLAGE WAY, ORANGE PARK, FL 32073-5263
(904) 265-6500
(904) 264-0995
Mailing address
1725 VILLAGE WAY, ORANGE PARK, FL 32073-5263
(904) 265-6500
(904) 264-0995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
622498
UNITED CONCORDIA
FL
Enumeration date
12/14/2015
Last updated
12/14/2015
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