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Individual
DR. EDWARD A. ROSENQUIST III
Active
Individual
DR. EDWARD A. ROSENQUIST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14687
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14687
LICENSE NUMBER
TX
01
—
611613608
BUSINESS TAX ID#
TX
Enumeration date
01/19/2007
Last updated
01/05/2011
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