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Organization
PORTAGE DENTAL GROUP, JEFFREY S. ROSENTHAL D.D.S., INC.
Active
Organization
PORTAGE DENTAL GROUP, JEFFREY S. ROSENTHAL D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S. ROSENTHAL DDS (OWNER)
(216) 905-8454
Entity
Organization
Contact information
Practice address
644 S CHESTNUT ST, RAVENNA, OH 44266-3035
(330) 297-7009
Mailing address
644 S CHESTNUT ST, RAVENNA, OH 44266-3035
(330) 297-7009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/24/2020
Last updated
11/22/2023
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