Individual
PAMELA ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5918 NC 39 HWY SOUTH, BUNN, NC 27508
(919) 496-8070
Mailing address
PO BOX 40881, RALEIGH, NC 27629-0881
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
6172
NC
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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