Rose, Elizabeth Vivian

Rose, Elizabeth Vivian is an individual health care provider with primary practice located at 24760 Hospital Dr. , Red Lake MN 56671. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Rose, Elizabeth Vivian can be contacted via phone (218) 679-0119.

Contact Information

Primary practice address
24760 Hospital Dr. Red Lake MN 56671
Phone: (218) 679-0119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 59821 California

Profile Details

NPI number 1871802934
LBN Legal business name Rose, Elizabeth Vivian
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2010
Last updated Mar 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers