Individual
DR. IVAN ROTHBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4 METROTECH CTR, BROOKLYN, NY 11201-8400
(718) 403-0700
Mailing address
4 METROTECH CTR, BROOKLYN, NY 11201-8400
(718) 403-0700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
026196
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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