| NPI | 1669512661 |
|---|---|
| Professional Name | MANUEL LA ROSA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WA DE00008413) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-05-09 |