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Individual

DR. LON J ROSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
15-01 BROADWAY STE 18, FAIR LAWN, NJ 07410-6018
(201) 797-8100
Mailing address
15-01 BROADWAY STE 18, FAIR LAWN, NJ 07410-6018
(201) 797-8100

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01439000
NJ

Other

Enumeration date
08/22/2006
Last updated
07/08/2007
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