Individual
MRS. CRYSTAL JANE ROSENBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3194 LEYLAND TRL, WOODBURY, MN 55125-3558
(715) 559-6638
Mailing address
3194 LEYLAND TRL, WOODBURY, MN 55125-3558
(715) 559-6638
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10573-016
WI
Other
Enumeration date
01/27/2010
Last updated
12/03/2017
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