DR. Stephanie Rose, DMD

NPI #1396002366 in Tigard, Oregon

Provider Information

NPI Number: 1396002366
Entity Type: Individual
Name: DR. Stephanie Rose, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Apr 16, 2012
Last Updated: Feb 12, 2020

Practice Location

Address: 12625 SW 69TH AVE
City: Tigard
State: Oregon
ZIP Code: 97223-8306
Phone: (503) 968-9766

Specialties & Taxonomy Codes

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

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