| Rosenberg Smiles | |
|
2307 4th St Rosenberg TX 77471-5174 | |
| (281) 232-2887 | |
| Not Available |
| Full Name | Rosenberg Smiles |
|---|---|
| Speciality | Dentist |
| Location | 2307 4th St, Rosenberg, Texas |
| Authorized Official Name and Position | Tanvi Dusane (OWNER DENTIST) |
| Authorized Official Contact | 2818534249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosenberg Smiles 2307 4th St Rosenberg TX 77471-5174 | Rosenberg Smiles 2307 4th St Rosenberg TX 77471-5174 Ph: (281) 232-2887 |
| NPI Number | 1871238998 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Certification Date | 04/19/2022 |
| Medicare PECOS PAC ID | 7416399126 |
|---|---|
| Medicare Enrollment ID | O20241015003253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871238998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| Provider Name | Tanvi Dusane |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578017455 PECOS PAC ID: 8325480031 Enrollment ID: I20241015003548 |
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