Organization
JOHN M. ROSE, D.D.S., M.S.
Active
Organization
JOHN M. ROSE, D.D.S., M.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M. ROSE D.D.S., M.S. (ORTHODONTIST)
(815) 802-1217
Entity
Organization
Contact information
Practice address
376 LARRY POWER RD, BOURBONNAIS, IL 60914-5184
(815) 802-1217
(815) 802-1252
Mailing address
376 LARRY POWER RD, BOURBONNAIS, IL 60914-5184
(815) 802-1217
(815) 802-1252
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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