Michael a Derose DDS PA
NPI #1164467411 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1164467411
- Entity Type
- Organization
- Organization Name
- Michael a Derose DDS PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2041 SILAS CREEK PKWY
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27103-5147
- Phone
- (336) 777-0303
Authorized Official
- Name
- DR. MICHAEL ANTHONY DEROSE, DDS
- Title
- OWNER
- Phone
- (336) 777-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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