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Individual

DR. MOLLY SUSAN ROSEBUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2714
(504) 619-8721
Mailing address
1100 FLORIDA AVE, NEW ORLEANS, LA 70119-2714
(504) 619-8721

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
8853
TN
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
P-143
LA

Other

Enumeration date
03/06/2007
Last updated
06/27/2013
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