Organization
ANDRADA & ROSE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL TODD ROSE DDS, MSD (PRESIDENT)
(304) 252-1509
Entity
Organization
Contact information
Practice address
220 RAGLAND RD, BECKLEY, WV 25801-9721
(304) 252-1509
(304) 252-1890
Mailing address
220 RAGLAND RD, BECKLEY, WV 25801-9721
(304) 252-1509
(304) 252-1890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
WV3040
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810004766
—
WV
Enumeration date
04/20/2007
Last updated
08/22/2020
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