Organization
DAN ROSEN DDS A PROFFESIONAL CORPORATION
Active
Parent organization
DAN ROSEN DDS A PROFFESIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAN ROSEN DDS A PROFFESIONAL CORPORATION
Authorized official
DAN ROSEN (OWNER)
(818) 907-6736
Entity
Organization
Contact information
Practice address
16542 VENTURA BLVD STE 505, ENCINO, CA 91436-4576
(818) 907-6736
Mailing address
16542 VENTURA BLVD STE 505, ENCINO, CA 91436-4576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38742
CA
Other
Enumeration date
02/21/2013
Last updated
11/11/2013
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