Individual
DR. DUSTY ELLEN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
723 N YOUNG BLVD, CHIEFLAND, FL 32626-1312
(352) 493-1416
(352) 493-2057
Mailing address
723 N YOUNG BLVD, CHIEFLAND, FL 32626-1312
(352) 493-1416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24165
FL
Other
Enumeration date
06/12/2019
Last updated
07/05/2024
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