Organization
JACQUELINE G ROSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE G ROSEN DDSMSPC (ORTHODONIST)
(847) 215-9971
Entity
Organization
Contact information
Practice address
355 W DUNDEE RD, BUFFALO GROVE, IL 60089-3500
(847) 215-9971
(847) 215-9946
Mailing address
355 W DUNDEE RD, BUFFALO GROVE, IL 60089-3500
(847) 215-9971
(847) 215-9946
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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