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1932300415
RUSSELL ROSE
SOUTH PASADENA, CA
NPI
1932300415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 30252)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
-- RUSSELL ROSE D.D.S
1426 FAIR OAKS AVE
SOUTH PASADENA, CA 91030-3834
Phone number: 626-799-2611
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Mailing Address
-- RUSSELL ROSE D.D.S
1426 FAIR OAKS AVE
SOUTH PASADENA, CA 91030-3834
Phone number: 626-799-2611
Copy
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