Individual
DR. JEFFREY LANE ROTHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
260 GODWIN AVE, WYCKOFF, NJ 07481-5200
(201) 891-8778
Mailing address
179 FOX HOLLOW RD, WYCKOFF, NJ 07481-2512
(201) 689-9432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11379
NJ
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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