Provider Demographics
NPI:1275534703
Name:ROSINSKI, CHRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:ROSINSKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CALLUNA CT
Mailing Address - Street 2:SUITE #102
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6331
Mailing Address - Country:US
Mailing Address - Phone:360-647-0525
Mailing Address - Fax:360-647-0513
Practice Address - Street 1:333 CALLUNA CT
Practice Address - Street 2:SUITE #102
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6331
Practice Address - Country:US
Practice Address - Phone:360-647-0525
Practice Address - Fax:360-647-0513
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000084791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice