Individual
ZACHARY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D.
Contact information
Practice address
1241 OAK ST, EUGENE, OR 97401-3519
(541) 686-9897
(541) 485-3505
Mailing address
1241 OAK ST, EUGENE, OR 97401-3519
(541) 686-9897
(541) 485-3505
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
10176641
OR
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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