Individual
DR. DIANA T. ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
4185 BLACKHAWK PLAZA CIRCLE, SUITE 210, DANVILLE, CA 94506
(925) 648-3651
(925) 648-3657
Mailing address
4185 BLACKHAWK PLAZA CIRCLE, SUITE 210, DANVILLE, CA 94506
(925) 648-3651
(925) 648-3657
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41866
CA
Other
Enumeration date
07/17/2006
Last updated
11/02/2021
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