DR. MARK ROSE, D.M.D.
Dentist - General Practice
Active
Individual
NPI: 1164593018
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | - |
Frequently Asked Questions
NPI 1164593018 is the National Provider Identifier for DR. MARK ROSE, D.M.D., a Dentist - General Practice provider located in Springfield, IL. This NPI was enumerated on November 13, 2006.
DR. MARK ROSE, D.M.D. practices at 6301 WIND TREE RD, Springfield, IL 62712.
Quick Facts
- NPI
- 1164593018
- Type
- Individual
- Enumerated
- Nov 13, 2006
- Last Updated
- Jul 8, 2007
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