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Individual

DR. KATHERINE ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
9360 TWO NOTCH RD, COLUMBIA, SC 29223-6416
(803) 788-0360
Mailing address
9360 TWO NOTCH RD, COLUMBIA, SC 29223-6416
(803) 788-0360

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8808
SC
1223G0001X
General Practice Dentistry
DN 22082
FL

Other

Enumeration date
08/12/2016
Last updated
08/16/2016
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