MRS. Beverly Ann Rose, D.M.D, P. A.

NPI #1083748842 in Melbourne, Florida

Provider Information

NPI Number: 1083748842
Entity Type: Individual
Name: MRS. Beverly Ann Rose, D.M.D, P. A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D, P. A.
Enumeration Date: Mar 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2755 N. WICKHAM RD.
Address 2: SUITE 101
City: Melbourne
State: Florida
ZIP Code: 32935
Phone: (321) 259-4666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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