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Organization
JERALD N. ROSENBERG, DMD, LLC
Active
Organization
JERALD N. ROSENBERG, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERALD N. ROSENBERG D.M.D. (OWNER)
(201) 794-0260
Entity
Organization
Contact information
Practice address
19-21 FAIR LAWN AVE, SUITE 2H, FAIR LAWN, NJ 07410-2331
(201) 794-0260
(201) 794-7697
Mailing address
19-21 FAIR LAWN AVE, FAIR LAWN, NJ 07410-2331
(201) 794-0260
(201) 794-7697
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI01598300
NJ
Other
Enumeration date
10/18/2006
Last updated
08/23/2016
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