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ROSHANAK ELMENDORF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
142 MAIN STREET, BLOOMINGDALE, NJ 07403
(973) 283-2900
(973) 283-1154
Mailing address
PO BOX 300, 142 MAIN ST, BLOOMINGDALE, NJ 07403
(973) 283-2900
(973) 283-1154

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D18731
NJ

Other

Enumeration date
11/27/2006
Last updated
07/08/2007
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