Individual
MOLLY ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9892 BUSTLETON AVE STE 304, PHILADELPHIA, PA 19115-2140
(215) 673-0123
Mailing address
9892 BUSTLETON AVE STE 304, PHILADELPHIA, PA 19115-2140
(215) 673-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858612
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/15/2019
Last updated
07/28/2025
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