Individual
DANIEL F. DEROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
450 CRESSON BLVD., SUITE 210, OAKS, PA 19456
(610) 482-4334
(610) 539-1055
Mailing address
401 COMMERCE DR, SUITE 108, FT WASHINGTON, PA 19034-2714
(267) 460-4254
(215) 646-6199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039177
PA
Other
Enumeration date
07/10/2012
Last updated
07/11/2012
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