MICHAEL DAVID ROSEN

PHOENIX, AZ
NPI1700499068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: AZ  D011353)
Additional Taxonomies122300000X Dentist
(Licence: CA  105379)
Enumeration Date2020-08-26
Last Update Date2024-05-03
Business Address
MICHAEL DAVID ROSEN DMD, MPH
230 S 12TH AVE
PHOENIX, AZ 85007-3101
Phone number: 424-279-4564
Mailing Address
MICHAEL DAVID ROSEN DMD, MPH
230 S 12TH AVE
PHOENIX, AZ 85007-3101
Phone number: 424-279-4564