Individual
DR. MARK REX ROSENTHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
3901 N WHEELING AVE, MUNCIE, IN 47304-1769
(765) 289-2377
(765) 289-3909
Mailing address
3901 N WHEELING AVE, MUNCIE, IN 47304-1769
(765) 289-2377
(765) 289-3909
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010065
IN
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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