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1598793242
MICHAEL A DEROSE DDS PA
CHARLOTTE, NC
NPI
1598793242
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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
2006-06-30
Last Update Date
2020-08-22
Business Address
MICHAEL A DEROSE DDS PA
3053 FREEDOM DR STE B
CHARLOTTE, NC 28208-3862
Phone number: 704-393-3911
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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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