Provider Demographics
NPI:1912197823
Name:ROSENFELD DENTAL CORP
Entity Type:Organization
Organization Name:ROSENFELD DENTAL CORP
Other - Org Name:ROSENFELD & SHEININ DENTAL CORP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-344-3559
Mailing Address - Street 1:19231 VICTORY BLVD
Mailing Address - Street 2:SUITE 455
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335
Mailing Address - Country:US
Mailing Address - Phone:818-344-3559
Mailing Address - Fax:818-344-0800
Practice Address - Street 1:19231 VICTORY BLVD
Practice Address - Street 2:SUITE 455
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335
Practice Address - Country:US
Practice Address - Phone:818-344-3559
Practice Address - Fax:818-344-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA164141223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty