Individual
MARIYA ROZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4257 US 9 STE A, FREEHOLD, NJ 07728-8310
(732) 639-3495
Mailing address
18 SUSANNA LN, STATEN ISLAND, NY 10312-1340
(347) 261-6731
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061599
NY
Other
Enumeration date
07/11/2019
Last updated
03/11/2023
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