DR. Mark Alan Rose, D.M.D.
NPI #1164593018 in Springfield, Illinois
Provider Information
- NPI Number
- 1164593018
- Entity Type
- Individual
- Name
- DR. Mark Alan Rose, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6301 WIND TREE RD
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62712-3738
- Phone
- (217) 585-0004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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