Individual
JEFFREY S ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1727 STREETSBORO PLZ, STREETSBORO, OH 44241-5635
(330) 626-3814
(330) 626-2169
Mailing address
1727 STREETSBORO PLZ, P.O. BOX 2006, STREETSBORO, OH 44241-5635
(330) 626-3814
(330) 626-2169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20624
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2029361
—
OH
Enumeration date
02/08/2007
Last updated
10/31/2013
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