Individual
DR. ZACHARY FREDRIC ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11600 W NORTH AVE, WAUWATOSA, WI 53226-2146
(414) 462-3160
Mailing address
11600 WEST NORTH AVE, WAUWATOSA, WI 53226
(414) 462-3160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7045
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7045
DENTAL LISCENCE NUMBER
WI
Enumeration date
05/24/2013
Last updated
05/24/2013
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