Individual
DR. RICHARD LEE ROSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9235 W CAPITOL DR, MILWAUKEE, WI 53222-1567
(414) 462-3160
Mailing address
9235 W CAPITOL DR, MILWAUKEE, WI 53222-1567
(414) 462-3160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2785
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33430600
—
WI
Enumeration date
06/15/2006
Last updated
07/08/2007
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