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NPI Code Detail

MEDICARE: HAL ROSENTHALER DMD

MEDICARE: HAL ROSENTHALER DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1902448046
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAL ROSENTHALER DMD
Provider Business Mailing Address
First Line : 1718 WELSH RD STE B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-4241
Country : US
Telephone Number : 215-673-7400
Fax Number : 215-673-5262
Provider Business Practice Location Address
First Line : 1718 WELSH RD STE B
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19115-4241
Country : US
Telephone Number : 215-673-7400
Fax Number : 215-673-5262
Authorized Official
Title or Position : OFFICE MANAGER
Name : DONNA BABIASZ
Credential :
Telephone Number : 215-673-7400
Provider Enumeration Date : 10/10/2019
Last Update Date : 10/10/2019

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Directions to “HAL ROSENTHALER DMD ” Practice Location

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