Individual
DR. MARK HOWARD ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9351 STATE ROAD 144, MARTINSVILLE, IN 46151-5848
(317) 422-4944
(317) 422-4945
Mailing address
9351 STATE ROAD 144, MARTINSVILLE, IN 46151-5848
(317) 422-4944
(317) 422-4945
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011752A
IN
1223G0001X
General Practice Dentistry
7578
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12011752A
LICENSE
IN
Enumeration date
01/26/2007
Last updated
12/29/2020
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