Provider Demographics
NPI:1417910183
Name:HONG, ROSALINA ESTHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROSALINA
Middle Name:ESTHER
Last Name:HONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 BOULEVARD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-2041
Mailing Address - Country:US
Mailing Address - Phone:201-300-6772
Mailing Address - Fax:201-773-4861
Practice Address - Street 1:495 BOULEVARD
Practice Address - Street 2:SUITE 1
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-2041
Practice Address - Country:US
Practice Address - Phone:201-300-6772
Practice Address - Fax:201-773-4861
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0209701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice