Organization
JENNIFER L. ROSALES DMD LLC
Active
Other names
Leviosa Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROSALES DMD (MEMBER)
(503) 560-3296
Entity
Organization
Contact information
Practice address
2350 SW MULTNOMAH BLVD STE I, PORTLAND, OR 97219-3999
(503) 560-3296
Mailing address
4600 SW JOSHUA ST, TUALATIN, OR 97062-7703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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