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Individual

JASON A ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(800) 541-6682
Mailing address
1320 SW 82ND TER, APT. 424, PLANTATION, FL 33324-3251
(954) 218-1710

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN18710
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/07/2008
Last updated
06/26/2024
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