Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELIZABETH VIVIAN ROSE, DMD
ActiveDR. ELIZABETH VIVIAN ROSE, DMD is a Dentist healthcare provider located in RED LAKE, Minnesota. NPI 1871802934 is currently active in the NPPES registry. Verify at CMS.
Dentist · RED LAKE, MN
Registration Details
- NPI Number
- 1871802934
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2010 (15.86363131664 yrs)
- Last Updated
- Mar 16, 2020
- License
-
59821 (CA)
Practice Information
- Address
-
24760 HOSPITAL DR.RED LAKE, MN, 56671Browse MN providers · Browse ZIP 56671
- Phone
- 2186790119
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in RED LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. CHAD WILLIAM FEGAN | D.D.S. | 1063727402 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.