Individual
JILLIAN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2457 OAKMONT WAY, EUGENE, OR 97401-6460
(541) 225-5214
Mailing address
2457 OAKMONT WAY, EUGENE, OR 97401-6460
(541) 225-5214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401415295
VA
1223G0001X
General Practice Dentistry
Primary
D11041
OR
Other
Enumeration date
06/29/2016
Last updated
10/16/2019
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