| Rose Family Dental | |
|
15 Sw 20th Avenue Battle Ground WA 98604 | |
| (360) 687-5665 | |
| (360) 687-5053 |
| Full Name | Rose Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 15 Sw 20th Avenue, Battle Ground, Washington |
| Authorized Official Name and Position | Karl David Rose (DENTIST) |
| Authorized Official Contact | 3606875665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Family Dental Po Box 157 15 Sw 20th Avenue Battle Ground WA 98604 Ph: (360) 687-5665 | Rose Family Dental 15 Sw 20th Avenue Battle Ground WA 98604 Ph: (360) 687-5665 |
| NPI Number | 1710109210 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710109210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9791 (Washington) | Secondary |
| 122300000X | Dentist | 4539 (Washington) | Secondary |
| 122300000X | Dentist | 7107 (Washington) | Primary |
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