Individual
DR. MELINDA J ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5100 N WESTERN AVE, CHICAGO, IL 60625-2513
(872) 302-4977
(872) 302-4980
Mailing address
851 W BELMONT AVE, CHICAGO, IL 60657-4401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031218
IL
Other
Enumeration date
06/29/2017
Last updated
12/21/2023
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