Individual
MS. DEENA ELAINE ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1000 HEALTH CENTER ROAD KYLE HEALTH CENTER 57752, #540, KYLE, SD 57752-0540
(605) 455-8205
(605) 455-1289
Mailing address
1000 HEALTH CENTER ROAD KYLE HEALTH CENTER 57752, PO BOX 540, KYLE, SD 57752-0540
(605) 455-8205
(605) 455-1289
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
954
SD
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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