MICHAEL A DEROSE DDS PA

CHARLOTTE, NC
NPI1598700775
Entity TypeOrganization
Authorized ContactMICHAEL ANTHONY DEROSE
Owner
336-777-0303
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2006-06-19
Last Update Date2020-08-22
Business Address
MICHAEL A DEROSE DDS PA
4901 N TRYON ST
CHARLOTTE, NC 28213-7033
Phone number: 704-921-0204
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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