Organization
GRANT D. ROSEN, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT ROSEN D.D.S. (PRESIDENT)
(831) 424-0881
Entity
Organization
Contact information
Practice address
750 E ROMIE LN STE B, SALINAS, CA 93901-4210
(831) 424-0881
Mailing address
750 E ROMIE LN STE B, SALINAS, CA 93901-4210
(831) 424-0881
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
25834
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2583401
DENTICAL
CA
Enumeration date
11/18/2011
Last updated
11/18/2011
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