NPI | 1811048507 |
---|---|
Doing Business As | ROSE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | KEITH A JOHNSON Owner Doctor 805-483-3658 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-01-16 |
Last Update Date | 2009-06-03 |