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Individual

DR. ADRIAN ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6156 NW 31ST CT, BOCA RATON, FL 33496-3318
(561) 542-1400
Mailing address
6156 NW 31ST CT, BOCA RATON, FL 33496-3318
(561) 542-1400

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9959
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9959
STATE OF FLORIDA
FL
Enumeration date
01/10/2006
Last updated
04/05/2011
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