# BROOKLYN DENTAL GROUP, JEFFREY S. ROSENTHAL, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952919714
- **Authorized official:** MRS. GEORGIA PAPANDROPOULOS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (216) 860-0120

## Contact information

- **Practice address:** 4163 PEARL RD., CLEVELAND, OH 44109
- **Practice address phone:** (216) 860-0120
- **Practice address fax:** (216) 860-0479
- **Mailing address:** 4163 PEARL RD., CLEVELAND, OH 44109
- **Mailing address phone:** (216) 860-0120
- **Mailing address fax:** (216) 860-0479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2020
- **Last updated:** 07/12/2021
