Individual
JERRETT ROSENBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
269 E OVILLA RD, 300, RED OAK, TX 75154-2607
(972) 576-3603
Mailing address
269 E OVILLA RD, 300, RED OAK, TX 75154-2607
(972) 576-3603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32355
TX
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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