Organization
ROSENGREN FAMILY DENTAL GROUP, INC.
Active
Other names
Rosengren Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BRUCE ROSENGREN D.D.S. (OWNER)
(253) 859-0123
Entity
Organization
Contact information
Practice address
24722 104TH AVE SE, SUITE 201, KENT, WA 98030-5322
(253) 859-0123
(253) 859-5864
Mailing address
24722 104TH AVE SE, SUITE 201, KENT, WA 98030-5322
(253) 859-0123
(253) 859-5864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60269425
WA
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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