Individual
MR. DANIEL LEE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., D.D.S.
Contact information
Practice address
4125 BLACKHAWK PLAZA CIR STE 250, DANVILLE, CA 94506-4648
(925) 648-3650
(925) 648-3654
Mailing address
4125 BLACKHAWK PLAZA CIR STE 250, DANVILLE, CA 94506-4648
(925) 648-3650
(925) 648-3654
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
41035
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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