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Organization
ROSE TREE DENTAL GROUP PC
Active
Organization
ROSE TREE DENTAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW M ROSEN (VICE PRESIDENT)
(610) 565-5077
Entity
Organization
Contact information
Practice address
1245 N PROVIDENCE RD, MEDIA, PA 19063-1210
(610) 565-5077
(610) 566-1291
Mailing address
1245 N PROVIDENCE RD, MEDIA, PA 19063-1210
(610) 565-5077
(610) 566-1291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-023463-L
PA
Other
Enumeration date
10/15/2006
Last updated
08/22/2020
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