Individual
REGINALD F ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
402 COGSWELL AVE, PELL CITY, AL 35125-2446
(205) 338-2915
Mailing address
402 COGSWELL AVE, PELL CITY, AL 35125-2446
(205) 338-2915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3277
AL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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