Individual
DR. DON K. ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
603 HOSPITAL DR, SUITE #2, MOUNTAIN HOME, AR 72653-2914
(870) 425-5955
(870) 425-5955
Mailing address
603 HOSPITAL DR, SUITE #2, MOUNTAIN HOME, AR 72653-2914
(870) 425-5955
(870) 425-5955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1853
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134237608
—
AR
Enumeration date
06/18/2006
Last updated
08/06/2012
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