Organization
BRONX PARK DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARA JEAN ROSENBERG DDS,MS.MPH (PRESIDENT)
(719) 792-7972
Entity
Organization
Contact information
Practice address
2016 BRONXDALE AVE, #303, BRONX, NY 10462-3388
(718) 792-7972
(718) 792-8311
Mailing address
2016 BRONXDALE AVE, #303, BRONX, NY 10462-3388
(718) 792-7972
(718) 792-8311
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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