Organization
ROSEN DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN ROSEN DMD (PRESIDENT)
(914) 277-8400
Entity
Organization
Contact information
Practice address
293 ROUTE 100 STE 202, SOMERS, NY 10589-3215
(914) 277-8400
Mailing address
293 ROUTE 100 STE 202, SOMERS, NY 10589-3215
(914) 277-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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