Tommy Rose DDS

NPI 1003806191 - Dentist - 122300000X

NPI Details
NPI 1003806191
Gender Male
Enumeration Date 10/28/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
753 STATE AVE
STE 402
KANSAS CITY KS, 66101-2516, US
Phone (913) 321-3999
Fax (913) 321-5766
Business Location
753 STATE AVE
STE 402
KANSAS CITY KS, 66101-2516, US
Phone (913) 321-3999
Fax (913) 321-5766
Toxanomy
Taxonomy Code 122300000X
License State Kansas
License Number 6742
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According to our database, Dr. Tommy Rose DDS NPI is 1003806191, taxonomy code is 122300000X and license number is 6742, license state is located at Kansas. Tommy Rose DDS physically located at 753 State Ave, Kansas City KS, 66101-2516. NPI Number Tommy Rose DDS has the Individual type.

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1003806191 NPI number is provided on an as is basis without warranty of any kind. 1003806191 is maintained by the National Plan & Provider Enumeration System. The contents of Tommy Rose DDS are for informational purposes only.