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Individual

MARC S ROSENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MD

Contact information

Practice address
1701 FOUR MILE DR, WILLIAMSPORT, PA 17701-1940
(520) 323-1900
(520) 323-6079
Mailing address
1701 FOUR MILE DR, WILLIAMSPORT, PA 17701-1940
(570) 323-1900
(570) 323-6079

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2002017020
MO

Other

Enumeration date
11/01/2006
Last updated
11/09/2015
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