Organization
PORTAGE DENTAL GROUP, JEFFREY S. ROSENTHAL D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S. ROSENTHAL DDS (OWNER)
(216) 905-8454
Entity
Organization
Contact information
Practice address
644 S CHESTNUT ST, RAVENNA, OH 44266-3035
(330) 297-7009
Mailing address
644 S CHESTNUT ST, RAVENNA, OH 44266-3035
(330) 297-7009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
11/22/2023
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