Individual
COLIN ROSANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
310 S OSAGE AVE, DEWEY, OK 74029-2742
(918) 534-3170
Mailing address
14804 E 77TH ST N, OWASSO, OK 74055-7967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7914
OK
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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