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Individual

STACY ROSENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1710 CALLOWAY DR, BAKERSFIELD, CA 93312-2824
(661) 515-1234
Mailing address
250 S HEATH RD APT 2097, BAKERSFIELD, CA 93314-4830
(585) 739-2888

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
110965
CA
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
04/15/2021
Last updated
12/21/2024
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