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Russell Rose, DDS
General Practice Dentistry in South Pasadena, California
NPI 1932300415

Russell Rose is a General Practice Dentistry based in South Pasadena, CA and is specialized in General Practice. Russell Rose practices in South Pasadena, CA and has the professional credentials of DDS. The NPI Number for Russell Rose is 1932300415 and holds a License No. 30252 (California).

The current practice location address for Russell Rose is 1426 Fair Oaks Ave, South Pasadena, CA and can be reached out via phone at 626-799-2611.

Location: 1426 Fair Oaks Ave, South Pasadena, CA, 91030-3834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932300415
Provider Name
Russell Rose
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1426 Fair Oaks Ave, South Pasadena, CA, 91030-3834
Phone Number
626-799-2611
Fax Number
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1426 Fair Oaks Ave
City
South Pasadena
State
California
Zip
91030-3834
Phone Number
626-799-2611
Fax Number
person
Provider Business Mailing Address Details
Address
1426 Fair Oaks Ave
City
South Pasadena
State
California
Zip
91030-3834
Phone Number
626-799-2611
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30252 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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