Individual
DERRICK DEL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7777 E RIDGE RD, HOBART, IN 46342-2458
(219) 947-2922
Mailing address
7777 E RIDGE RD, HOBART, IN 46342-2458
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012334A
IN
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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