DR. Louis Anthony Derose, DDS

NPI #1942360458 in Wheat Ridge, Colorado

Provider Information

NPI Number: 1942360458
Entity Type: Individual
Name: DR. Louis Anthony Derose, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3805 MARSHALL ST
Address 2: SUITE 300
City: Wheat Ridge
State: Colorado
ZIP Code: 80033
Phone: (303) 420-8478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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