DR. Michael Stephen Rose, DDS

NPI #1043461312 in Las Vegas, Nevada

Provider Information

NPI Number: 1043461312
Entity Type: Individual
Name: DR. Michael Stephen Rose, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 6, 2008
Last Updated: Oct 6, 2008

Practice Location

Address: 4230 E CHARLESTON BLVD
City: Las Vegas
State: Nevada
ZIP Code: 89104-2397
Phone: (702) 459-8998

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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