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1598700775
MICHAEL A DEROSE DDS PA
CHARLOTTE, NC
NPI
1598700775
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Entity Type
Organization
Authorized Contact
MICHAEL ANTHONY DEROSE
Owner
336-777-0303
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-06-19
Last Update Date
2020-08-22
Business Address
MICHAEL A DEROSE DDS PA
4901 N TRYON ST
CHARLOTTE, NC 28213-7033
Phone number: 704-921-0204
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Mailing Address
MICHAEL A DEROSE DDS PA
2041 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-5147
Phone number: 336-777-0303
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