Individual
DR. LOUIS ANTHONY DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3805 MARSHALL ST, SUITE 300, WHEAT RIDGE, CO 80033
(303) 420-8478
(303) 421-8753
Mailing address
3805 MARSHALL ST, SUITE 300, WHEAT RIDGE, CO 80033
(303) 420-8478
(303) 421-8753
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104507
CO
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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