Individual
REBECCA J ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
220 S BUSINESS PARK DR STE A6, OOSTBURG, WI 53070-1586
(920) 564-0339
Mailing address
215 S 10TH ST, OOSTBURG, WI 53070-1366
(920) 838-4141
(920) 838-4141
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
10800
WI
174400000X
Specialist
Primary
10800-16
WI
174400000X
Specialist
—
—
Other
Enumeration date
09/11/2013
Last updated
04/26/2024
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