| Jay L. Rosenheck DDS PC | |
|
1000 Peachtree Industrial Blvd Suite 10 Suwanee GA 30024-6737 | |
| (770) 614-4666 | |
| (678) 279-5533 |
| Full Name | Jay L. Rosenheck DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 1000 Peachtree Industrial Blvd, Suwanee, Georgia |
| Authorized Official Name and Position | Jay L. Rosenheck (OWNER) |
| Authorized Official Contact | 7706144666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay L. Rosenheck DDS PC 1000 Peachtree Industrial Blvd Suite 10 Suwanee GA 30024-6737 Ph: (770) 614-4666 | Jay L. Rosenheck DDS PC 1000 Peachtree Industrial Blvd Suite 10 Suwanee GA 30024-6737 Ph: (770) 614-4666 |
| NPI Number | 1598117632 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598117632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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