Individual
DR. EDWARD ALAN ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
16 MAYTIME DR, JERICHO, NY 11753-2232
(516) 937-1555
(516) 938-5578
Mailing address
16 MAYTIME DR, JERICHO, NY 11753-2232
(516) 937-1555
(516) 938-5578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041853
NY
Other
Enumeration date
09/28/2006
Last updated
11/15/2011
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