Provider Demographics
NPI:1285824631
Name:ROSMAN, PATRICIA A (DDS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:ROSMAN
Suffix:
Gender:F
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:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:WA
Mailing Address - Zip Code:99159-0429
Mailing Address - Country:US
Mailing Address - Phone:509-982-2605
Mailing Address - Fax:509-982-9951
Practice Address - Street 1:20 W FIRST AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:WA
Practice Address - Zip Code:99159-0429
Practice Address - Country:US
Practice Address - Phone:509-982-2605
Practice Address - Fax:509-982-9951
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA58741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice