Individual
DR. HUMAIRA IKHLAQ-ROSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS,BDS
Contact information
Practice address
20 DANA BUILDING HOWARD AVE, 2 FLOOR DENTAL CLINIC, NEW HAVEN, CT 06510
(203) 688-2464
Mailing address
214 SCHILLER ST, HERMANN, MO 65041-1152
(573) 486-5431
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2010040604
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2007
Last updated
10/17/2022
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