Individual
DR. ANDREW DAVID DE LA ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2967 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5111
(603) 356-2566
Mailing address
PO BOX 412, NORTH CONWAY, NH 03860-0412
(561) 706-3145
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
03915
NH
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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