| Timothy J Rosin Dds Sc | |
|
2570 New Pinery Rd Portage WI 53901 | |
| (608) 742-5573 | |
| (608) 742-3466 |
| Full Name | Timothy J Rosin Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2570 New Pinery Rd, Portage, Wisconsin |
| Authorized Official Name and Position | Timothy J Rosin (OWNER) |
| Authorized Official Contact | 6087425573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Rosin Dds Sc 2570 New Pinery Rd Portage WI 53901 Ph: (608) 742-5573 | Timothy J Rosin Dds Sc 2570 New Pinery Rd Portage WI 53901 Ph: (608) 742-5573 |
| NPI Number | 1720149156 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720149156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1517 G (Wisconsin) | Primary |
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