| John M. Rose, D.d.s., M.s. | |
|
376 Larry Power Rd Bourbonnais IL 60914-5184 | |
| (815) 802-1217 | |
| (815) 802-1252 |
| Full Name | John M. Rose, D.d.s., M.s. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 376 Larry Power Rd, Bourbonnais, Illinois |
| Authorized Official Name and Position | John M. Rose (ORTHODONTIST) |
| Authorized Official Contact | 8158021217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M. Rose, D.d.s., M.s. 376 Larry Power Rd Bourbonnais IL 60914-5184 Ph: (815) 802-1217 | John M. Rose, D.d.s., M.s. 376 Larry Power Rd Bourbonnais IL 60914-5184 Ph: (815) 802-1217 |
| NPI Number | 1831427335 |
|---|---|
| Provider Enumeration Date | 11/23/2009 |
| Last Update Date | 11/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831427335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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