Individual
REBECCA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1310 BERTHA AVE NW, BREMERTON, WA 98312-2607
(360) 620-2130
Mailing address
PO BOX 1292, SILVERDALE, WA 98383-1292
(360) 620-2130
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
DH00006574
WA
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
02/23/2021
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