Provider Demographics
NPI:1811073026
Name:VINCZE-ROSEN, AGNES JUDITH (DDS)
Entity type:Individual
Prefix:
First Name:AGNES
Middle Name:JUDITH
Last Name:VINCZE-ROSEN
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 1:2075 BYBERRY RD
Mailing Address - Street 2:SUITE 110 ATRIUM OF BENSALEM
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020
Mailing Address - Country:US
Mailing Address - Phone:215-639-6633
Mailing Address - Fax:215-244-2636
Practice Address - Street 1:2075 BYBERRY RD
Practice Address - Street 2:SUITE 110 ATRIUM OF BENSALEM
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020
Practice Address - Country:US
Practice Address - Phone:215-639-6633
Practice Address - Fax:215-244-2636
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA23977L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist