Individual
DR. FAWN ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, FAGD
Contact information
Practice address
922 WALTHAM STREET, SUITE 202, LEXINGTON, MA 02421
(781) 861-6008
(781) 240-0264
Mailing address
922 WALTHAM STREET, SUITE 202, LEXINGTON, MA 02421
(781) 861-6008
(781) 240-0264
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16173
MA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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