DR. Tommy Rose, DDS

NPI #1003806191 in Kansas City, Kansas

Provider Information

NPI Number: 1003806191
Entity Type: Individual
Name: DR. Tommy Rose, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 28, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 753 STATE AVE
Address 2: STE 402
City: Kansas City
State: Kansas
ZIP Code: 66101-2516
Phone: (913) 321-3999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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