GREGG LEE ROSE

CHAMPAIGN, IL
NPI1730243171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: IL  021.001507019.021040)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
Dr. GREGG LEE ROSE DDS
1715 BROADMOOR DR SUITE B
CHAMPAIGN, IL 61821-5983
Phone number: 217-352-7337
Mailing Address
Dr. GREGG LEE ROSE DDS
1715 BROADMOOR DR SUITE B
CHAMPAIGN, IL 61821-5983
Phone number: 217-352-7337
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