Individual
JOEL LAWRENCE ROSENLICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
483 MIDDLE TPKE W, MANCHESTER, CT 06040-3863
(860) 649-2272
(860) 533-1010
Mailing address
483 MIDDLE TUNRPIKE WEST, MANCHESTER, CT 06040-1926
(860) 649-2272
(860) 533-1010
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
005324
CT
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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