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Organization
ROSENGREN FAMILY DENTAL GROUP, INC.
Active
Organization
ROSENGREN FAMILY DENTAL GROUP, INC.
Active
Other names
Rosengren Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BRUCE ROSENGREN D.D.S. (OWNER)
(253) 859-0123
Entity
Organization
Contact information
Practice address
24722 104TH AVE SE, SUITE 201, KENT, WA 98030-5322
(253) 859-0123
(253) 859-5864
Mailing address
24722 104TH AVE SE, SUITE 201, KENT, WA 98030-5322
(253) 859-0123
(253) 859-5864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60269425
WA
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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