Organization
ILLUSTRADENT WESTCHESTER DENTAL SERVICES, PLLC
Active
Other names
Westchester Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARA ROSENBERG DDS (OWNER)
(914) 997-0566
Entity
Organization
Contact information
Practice address
47 MAMARONECK AVE, WHITE PLAINS, NY 10601-4215
(914) 997-0566
Mailing address
47 MAMARONECK AVE, WHITE PLAINS, NY 10601-4215
(914) 997-0566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052858
NY
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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