Provider Demographics
NPI:1033132410
Name:JF ROSENWALD DDS PS
Entity Type:Organization
Organization Name:JF ROSENWALD DDS PS
Other - Org Name:ROSENWALD & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROSENWALD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-454-4040
Mailing Address - Street 1:1515 116TH AVE NE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3811
Mailing Address - Country:US
Mailing Address - Phone:425-454-4040
Mailing Address - Fax:425-454-4497
Practice Address - Street 1:1515 116TH AVE NE
Practice Address - Street 2:SUITE 305
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3811
Practice Address - Country:US
Practice Address - Phone:425-454-4040
Practice Address - Fax:425-454-4497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA37331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty