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Individual

DR. MICHAEL T ROSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS,MS,FAGD

Contact information

Practice address
2601 ANNAND DR STE 2, WILMINGTON, DE 19808-3719
(302) 994-0979
(302) 994-5770
Mailing address
2601 ANNAND DR STE 2, WILMINGTON, DE 19808-3719
(302) 994-0979
(302) 994-5770

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
929
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000891308
DE
Enumeration date
12/21/2006
Last updated
07/09/2007
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