Provider Demographics
NPI:1396250627
Name:ROSE & HOLLANDER DENTAL ASSOCIATES
Entity type:Organization
Organization Name:ROSE & HOLLANDER DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOLLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:103-337-2070
Mailing Address - Street 1:10111 VALLEY FORGE CIRCLE
Mailing Address - Street 2:VALLEY FORGE TOWERS
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1111
Mailing Address - Country:US
Mailing Address - Phone:610-337-2070
Mailing Address - Fax:
Practice Address - Street 1:10111 VALLEY FORGE CIRCLE
Practice Address - Street 2:VALLEY FORGE TOWERS
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1111
Practice Address - Country:US
Practice Address - Phone:610-337-2070
Practice Address - Fax:610-337-9895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2017-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental