Organization
ROSENTHALL ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK R ROSENTHALL D.D.S, M.S.D. (OWNER)
(765) 289-2377
Entity
Organization
Contact information
Practice address
610 SOUTH YILLOTSON AVENUE, SUITE 210, MUNCIE, IN 47304-4450
(765) 289-2377
(765) 289-3409
Mailing address
610 SOUTH YILLOTSON AVENUE, SUITE 210, MUNCIE, IN 47304-4450
(765) 289-2377
(765) 289-3409
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010065
IN
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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