Search › California › 1223G0001X
Russell Rose, D.D.S
NPI 1932300415 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1426 Fair Oaks Ave
South Pasadena, CA 91030 - Phone
- (626) 799-2611
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California