Organization
MICHAEL T ROSEN DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD ROSEN D.D.S. (PRESIDENT/DENTIST)
(302) 994-0979
Entity
Organization
Contact information
Practice address
2601 ANNAND DR, SUITE 2, WILMINGTON, DE 19808-3719
(302) 994-0979
Mailing address
2601 ANNAND DR, SUITE 2, WILMINGTON, DE 19808-3719
(302) 994-0979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G1-0000929
DE
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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