Individual
DR. JOHN ALBERT ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
959 BRUSH HOLLOW RD, WESTBURY, NY 11590-1778
(516) 333-6744
Mailing address
959 BRUSH HOLLOW RD, WESTBURY, NY 11590-1778
(516) 333-6744
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
051900-1
NY
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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