Individual
FREDRICK A ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3609 PARK EAST DR, 411, BEACHWOOD, OH 44122-4309
(216) 464-8985
Mailing address
3609 PARK EAST DR, 411, BEACHWOOD, OH 44122-4331
(216) 464-8985
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13350
OH
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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