Rose, Russell
Rose, Russell is an sole proprietor health care provider with primary practice located at 1426 Fair Oaks Ave , South Pasadena CA 91030-3834. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Rose, Russell can be contacted via phone (626) 799-2611.Contact Information
Primary practice address
1426 Fair Oaks Ave
South Pasadena CA 91030-3834
Phone: (626) 799-2611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30252 | California |
Profile Details
| NPI number | 1932300415 |
|---|---|
| LBN Legal business name | Rose, Russell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
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