Organization
ROSE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL DAVID ROSE DDS (DENTIST)
(360) 687-5665
Entity
Organization
Contact information
Practice address
15 SW 20TH AVENUE, BATTLE GROUND, WA 98604
(360) 687-5665
(360) 687-5053
Mailing address
PO BOX 157, 15 SW 20TH AVENUE, BATTLE GROUND, WA 98604
(360) 687-5665
(360) 687-5053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4539
WA
122300000X
Dentist
Primary
7107
WA
122300000X
Dentist
9791
WA
Other
Enumeration date
05/03/2007
Last updated
06/18/2008
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