Orthoodntics Only
NPI #1659414142 in Hawthorne, California
Provider Information
- NPI Number
- 1659414142
- Entity Type
- Organization
- Organization Name
- Orthoodntics Only
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11633 HAWTHORNE BLVD
- Address 2
- SUITE #500
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-2321
- Phone
- (310) 644-4412
Authorized Official
- Name
- DR. FAREL A. ROSENBERG, DDS,DMD
- Title
- DOCTOR
- Phone
- (310) 644-4412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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