MARK ALAN ROSE

SPRINGFIELD, IL
NPI1164593018
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019024513)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
Dr. MARK ALAN ROSE D.M.D.
6301 WIND TREE RD
SPRINGFIELD, IL 62712-3738
Phone number: 217-585-0004
Mailing Address
Dr. MARK ALAN ROSE D.M.D.
2525 W ILES AVE
SPRINGFIELD, IL 62704-4283
Phone number: 217-787-6600
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