Individual
DR. JOHN M ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
316 E LINCOLN AVE, WATSEKA, IL 60970
(815) 432-4924
(815) 432-5291
Mailing address
316 E LINCOLN AVE, WATSEKA, IL 60970
(815) 432-4924
(815) 432-5291
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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