Individual
DR. EVAN ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
293 ROUTE 100 STE 202, SOMERS, NY 10589-3215
(914) 277-8400
Mailing address
293 ROUTE 100 STE 202, SOMERS, NY 10589-3215
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
056647
NY
1223P0700X
Prosthodontics
DN1856456
MA
1223P0700X
Prosthodontics
DN19008
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN19008
FL
Other
Enumeration date
05/21/2010
Last updated
07/19/2022
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