George Glenn Rose, DDS DOS Valid NPI

Individual provider · General Practice Dentistry · Marlin, TX

NPI

1679683759

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

TX #12144 (TX)

Sex

Male

Sole proprietor

No

Enumerated

2006-08-30

Last updated

2007-07-08