Michael D Derosa, DDS
NPI #1235290990 in Saint Clairsville, Ohio
Provider Information
- NPI Number
- 1235290990
- Entity Type
- Individual
- Name
- Michael D Derosa, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Dec 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 156 WOODROW AVE STE 2
- State
- Ohio
- ZIP Code
- 43950-1181
- Phone
- (740) 695-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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