# ROSENGREN FAMILY DENTAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Rosengren Family Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669732897
- **Authorized official:** DR. ERIC BRUCE ROSENGREN D.D.S. (OWNER)
- **Authorized official phone:** (253) 859-0123

## Contact information

- **Practice address:** 24722 104TH AVE SE, SUITE 201, KENT, WA 98030-5322
- **Practice address phone:** (253) 859-0123
- **Practice address fax:** (253) 859-5864
- **Mailing address:** 24722 104TH AVE SE, SUITE 201, KENT, WA 98030-5322
- **Mailing address phone:** (253) 859-0123
- **Mailing address fax:** (253) 859-5864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60269425 | WA | Yes |

## Other

- **Enumeration date:** 05/22/2012
- **Last updated:** 05/22/2012