Individual
CHARLA LEIGH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
204 S MARSHALL ST, GRAHAM, NC 27253-3322
(336) 227-1187
Mailing address
204 S MARSHALL ST, GRAHAM, NC 27253-3322
(336) 227-1187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10145
NC
Other
Enumeration date
07/07/2015
Last updated
08/29/2022
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