Individual
AIDA MARATOVNA ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29402 LAUREL DR, FARMINGTON HILLS, MI 48331-2828
(248) 228-0907
Mailing address
29402 LAUREL DR, FARMINGTON HILLS, MI 48331-2828
(248) 228-0907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059368
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2016
Last updated
08/17/2017
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