Organization
LOCUST DENTAL GROUP JEFFREY S ROSENTHAL DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J SHREVES (CREDENTIALING MANAGER)
(440) 352-5700
Entity
Organization
Contact information
Practice address
300 LOCUST ST STE 430, AKRON, OH 44302-1804
(330) 535-7876
Mailing address
300 LOCUST ST STE 430, AKRON, OH 44302-1804
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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