Individual
KATHERINE M ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
65 MAPLE DR, BEAVER, PA 15009-1025
(724) 495-6700
Mailing address
65 MAPLE DR, BEAVER, PA 15009-1025
(724) 495-6700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040833
PA
Other
Enumeration date
06/06/2016
Last updated
02/17/2021
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