Individual
DR. ROSEN GEORGIEV DIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6607 W CANAL DR, KENNEWICK, WA 99336-5077
(862) 452-0961
Mailing address
6305 143RD PL SE, SNOHOMISH, WA 98296-5252
(862) 452-0961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE.60294925
WA
Other
Enumeration date
07/27/2012
Last updated
08/16/2012
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