Organization
BENJAMIN D ROSENBERG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLI CRANE (OFFICE MANAGER)
(417) 781-2220
Entity
Organization
Contact information
Practice address
924 N BROADWAY ST, B, PITTSBURG, KS 66762-3910
(620) 231-1972
Mailing address
PO BOX 2788, JOPLIN, MO 64803-2788
(417) 781-2220
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4498
KS
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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