MICHAEL A DEROSE DDS PA

RALEIGH, NC
NPI1457389108
Entity TypeOrganization
Authorized ContactMICHAEL ANTHONY DEROSE
Owner
336-777-0303
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-06-30
Last Update Date2020-08-22
Business Address
MICHAEL A DEROSE DDS PA
3212 S WILMINGTON ST
RALEIGH, NC 27603-3538
Phone number: 919-773-3002
Mailing Address
MICHAEL A DEROSE DDS PA
2041 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-5147
Phone number: 336-777-0303