Individual
ROSE PREMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
32 CRESTON AVE, WOBURN, MA 01801-2616
(617) 792-1430
Mailing address
9 JOHNSON ST, WOBURN, MA 01801-2907
(617) 792-1430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859403
MA
Other
Enumeration date
04/11/2022
Last updated
07/15/2022
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