Individual
DR. ROBERT LOUIS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15 SW 20TH AVENUE, BATTLE GROUND, WA 98604
(360) 687-5665
(360) 687-5053
Mailing address
PO BOX 157, 15 SW 20TH AVENUE, BATTLE GROUND, WA 98604-0157
(360) 687-5665
(360) 687-5053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4539
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043317449
CORPORATE NPI
WA
Enumeration date
04/26/2007
Last updated
07/08/2007
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