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Organization

RGR ORTHODONTICS, P.C.

Active
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Organization

RGR ORTHODONTICS, P.C.

Active
Other names
R & R Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD GARY ROSENBLOOM D.M.D. (PRESIDENT)
(845) 471-1186
Entity
Organization

Contact information

Practice address
1145 ROUTE 55, SUITE 1, LAGRANGEVILLE, NY 12540-5042
(845) 471-1186
(845) 471-1672
Mailing address
1145 ROUTE 55, SUITE 1, LAGRANGEVILLE, NY 12540-5042
(845) 471-1186
(845) 471-1672

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042287
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
96609
CSEA
NY
Enumeration date
03/13/2007
Last updated
08/22/2020
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