Individual
DR. PAUL TODD ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 RAGLAND RD, BECKLEY, WV 25801-9721
(304) 252-0472
(304) 252-1890
Mailing address
4350 GRANDVIEW RD, BEAVER, WV 25813-9107
(304) 252-0472
(304) 252-1890
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
WV 3040
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133045001
—
WV
Enumeration date
06/12/2006
Last updated
07/09/2007
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