# DDS-TAPESTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629510482
- **Authorized official:** DR. THOMAS ROSE DMD (OWNER)
- **Authorized official phone:** (248) 534-6769

## Contact information

- **Practice address:** 7633 E JEFFERSON AVE, STE 200, DETROIT, MI 48214-3730
- **Practice address phone:** (313) 833-2895
- **Practice address fax:** (313) 244-0661
- **Mailing address:** 7310 WOODWARD AVE STE 400, DETROIT, MI 48202-3165
- **Mailing address phone:** (313) 576-2554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2016
- **Last updated:** 12/13/2016