Organization
JEREMY ROSENFELD DDS, LLC
Active
Other names
New Town Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ROSENFELD DDS (PRESIDENT)
(410) 954-9696
Entity
Organization
Contact information
Practice address
9419 COMMON BROOK RD STE 218, OWINGS MILLS, MD 21117-7570
(410) 654-9696
Mailing address
9419 COMMON BROOK RD STE 218, OWINGS MILLS, MD 21117-7570
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376075291
NPI
—
Enumeration date
06/24/2019
Last updated
06/24/2019
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