Craig Russell Rose, DDS

NPI #1316147218 in Hico, Texas

Provider Information

NPI Number: 1316147218
Entity Type: Individual
Name: Craig Russell Rose, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 19, 2007
Last Updated: Dec 14, 2011

Practice Location

Address: 107 S WALNUT ST
City: Hico
State: Texas
ZIP Code: 76457-6298
Phone: (254) 796-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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