| Name | SCOTT L. ROSE, D.D.S., INC. | 
|---|---|
| Street | 6200 SOM CENTER ROAD UNIT B10 | 
| City | SOLON | 
| Zip | OH 44139 | 
| Status | Active | 
| Effective date | 2009-10-26T00:00:00+01:00 | 
| Company | THE SMILE ADVANTAGE DENTAL PLAN | 
|---|---|
| Entity Number | 1891686 | 
| Company | ROSEDENTAL | 
|---|---|
| Entity Number | 2253561 |