Individual
ERIN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 414-0519
(541) 842-7774
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
(541) 500-8171
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D11562
OR
Other
Enumeration date
11/15/2012
Last updated
11/17/2022
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