Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN25809 | FL |
NPI | 1033880521 |
---|---|
Provider Name | Dr. Sara Heather Rosenberg |
First Address | Boca Raton, FL 33486-1026 |
Second Address | Boca Raton, FL 33486-1026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2021 |
Last Update Date | 03/11/2021 |