Individual
LAURA ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
154 MAIN STREET, BUCKSPORT, ME 04416
(207) 469-2912
Mailing address
PO BOX O, BUCKSPORT, ME 04416-1215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
058620
NY
1223G0001X
General Practice Dentistry
Primary
DEN4760
ME
Other
Enumeration date
06/15/2015
Last updated
09/27/2024
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