# ANDRADA & ROSE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932326667
- **Authorized official:** DR. PAUL TODD ROSE DDS, MSD (PRESIDENT)
- **Authorized official phone:** (304) 252-1509

## Contact information

- **Practice address:** 220 RAGLAND RD, BECKLEY, WV 25801-9721
- **Practice address phone:** (304) 252-1509
- **Practice address fax:** (304) 252-1890
- **Mailing address:** 220 RAGLAND RD, BECKLEY, WV 25801-9721
- **Mailing address phone:** (304) 252-1509
- **Mailing address fax:** (304) 252-1890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | WV3040 | WV | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810004766 | — | WV |