Individual
DR. ILONA POLUR ROSSIGNOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
547 E BROAD ST, WESTFIELD, NJ 07090-2107
(908) 233-8668
Mailing address
125 DUNNELL RD, 313, MAPLEWOOD, NJ 07040-2666
(347) 834-3500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
057498-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02485800
NJ
Other
Enumeration date
06/13/2014
Last updated
05/02/2017
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