Most Relevant Information
Provider Data
| NPI Number: | 1003439563 |
| Provider Name: | LANCE A ROSE DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 30026123 |
Most Important Dates
| Enumeration Date: | 05/19/2020 |
| Last Updated: | 09/19/2021 |
Provider Practice Location
103 S CHURCH ST
NEW CARLISLE
OH
453441903
Practice Location Phone/Fax
| Phone: | 9378450038 |
| Fax: |
Provider Mailing Location
103 S CHURCH ST
NEW CARLISLE
OH
453441903
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |