Individual
AMANDA PEREZ ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
20103 NORTHERN BLVD FL 1, FLUSHING, NY 11361-2563
(347) 472-0318
Mailing address
20103 NORTHERN BLVD FL 1, FLUSHING, NY 11361-2563
(347) 472-0318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064163
NY
Other
Enumeration date
04/24/2023
Last updated
01/18/2025
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