Individual
DR. RYAN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4323 HILL ST, COLUMBIA, SC 29207-6022
(803) 751-6209
Mailing address
4323 HILL ST, COLUMBIA, SC 29207-6022
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22081
FL
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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