Doctor Name: | DR. KIMBERLY ANNE ROSENFELD |
NPI Number: | 1003960774 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DMD |
License Number: | 22DI02129801 |
Business Practice Address: | 412 Pleasant Valley Way West Orange, NJ - 07405 |
Business Phone Number: | 9737312468 |
Business Fax Number: | 9737312501 |
Mailing Address: | 412 Pleasant Valley Way, WEST ORANGE |
State: | NJ |
Postal Code: | 07405 |
Phone Number: | 9737312468 |
Fax Number: | 9737312501 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 22DI02129801 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |