Individual
ZUZANNA ROSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1731 NW KINGS BLVD, CORVALLIS, OR 97330-1905
(541) 705-2470
Mailing address
1731 NW KINGS BLVD, CORVALLIS, OR 97330-1905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415223
VA
122300000X
Dentist
D010611
AZ
1223G0001X
General Practice Dentistry
2024006974
MO
1223G0001X
General Practice Dentistry
Primary
D12303
OR
1223P0221X
Pediatric Dentistry
Primary
D12303
OR
Other
Enumeration date
09/07/2016
Last updated
08/03/2026
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