Individual
DR. RICHARD GARY ROSENBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1145 ROUTE 55, SUITE 1, LAGRANGEVILLE, NY 12540-5042
(845) 471-1186
Mailing address
1145 ROUTE 55, SUITE 1, LAGRANGEVILLE, NY 12540-5042
(845) 471-1186
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042087
NY
Other
Enumeration date
09/25/2006
Last updated
12/17/2010
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