# REBECCA J DE LA ROSA, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avon Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861557415
- **Authorized official:** REBECCA J DE LA ROSA D.D.S. (PRESIDENT)
- **Authorized official phone:** (317) 272-7715

## Contact information

- **Practice address:** 7318 E. U.S. 36, SUITE 100, AVON, IN 46123
- **Practice address phone:** (317) 272-7715
- **Practice address fax:** (317) 272-7719
- **Mailing address:** 7318 E. U.S. 36, SUITE 100, AVON, IN 46123
- **Mailing address phone:** (317) 272-7715
- **Mailing address fax:** (317) 272-7719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1200--9226 | IN | Yes |

## Other

- **Enumeration date:** 12/26/2006
- **Last updated:** 08/22/2020