Individual
SUSAN MARY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2828 INTERNATIONAL CIR, COLORADO SPRINGS, CO 80910-3127
(719) 630-6440
(719) 475-7478
Mailing address
340 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 630-6440
(719) 228-6609
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2955
CO
Other
Enumeration date
06/30/2006
Last updated
05/16/2008
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