Organization
TIMOTHY J ROSIN DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J ROSIN DDS (OWNER)
(608) 742-5573
Entity
Organization
Contact information
Practice address
2570 NEW PINERY RD, PORTAGE, WI 53901
(608) 742-5573
(608) 742-3466
Mailing address
2570 NEW PINERY RD, PORTAGE, WI 53901
(608) 742-5573
(608) 742-3466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1517 G
WI
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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