Individual
DR. DANIEL EDWARD ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1401 INDUSTRIAL DR, COUSHATTA, LA 71019
(318) 932-2100
Mailing address
6006 84TH ST SW, MOTLEY, MN 56466-2128
(218) 397-2341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7291
LA
1223G0001X
General Practice Dentistry
D8709
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802518500
—
MN
Enumeration date
09/05/2006
Last updated
03/13/2024
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