RUSSELL ROSE

SOUTH PASADENA, CA
NPI1932300415
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  30252)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
-- RUSSELL ROSE D.D.S
1426 FAIR OAKS AVE
SOUTH PASADENA, CA 91030-3834
Phone number: 626-799-2611
Mailing Address
-- RUSSELL ROSE D.D.S
1426 FAIR OAKS AVE
SOUTH PASADENA, CA 91030-3834
Phone number: 626-799-2611
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