Most Relevant Information
Provider Data
| NPI Number: | 1003806191 |
| Provider Name: | TOMMY ROSE DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 6742 |
Most Important Dates
| Enumeration Date: | 10/28/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
753 STATE AVE
STE 402
KANSAS CITY
KS
661012516
Practice Location Phone/Fax
| Phone: | 9133213999 |
| Fax: | 9133215766 |
Provider Mailing Location
753 STATE AVE
STE 402
KANSAS CITY
KS
661012516
Provider Mailing Phone/Fax
| Phone: | 9133213999 |
| Fax: | 9133215766 |