Individual
DR. GRAHAM C ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2010 BREMO RD, SUITE 121, RICHMOND, VA 23226-2444
(804) 282-9191
Mailing address
2010 BREMO RD, SUITE 121, RICHMOND, VA 23226-2444
(804) 282-9191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007742
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146471
BLUE CROSS AND BLUE SHIEL
—
01
—
878972
UNITED CONCORDIA
—
Enumeration date
07/31/2006
Last updated
07/21/2022
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