Organization
JACQUELINE G ROSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE G ROSEN D.D.S., M.S.,PC (OWNER)
(847) 432-1614
Entity
Organization
Contact information
Practice address
1866 SHERIDAN RD, HIGHLAND PARK, IL 60035-2547
(847) 432-1614
Mailing address
1866 SHERIDAN RD, HIGHLAND PARK, IL 60035-2547
(847) 432-1614
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021-001225
IL
Other
Enumeration date
04/19/2007
Last updated
03/15/2013
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