Individual
DR. TOMMY ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
753 STATE AVE, STE 402, KANSAS CITY, KS 66101-2516
(913) 321-3999
(913) 321-5766
Mailing address
753 STATE AVE, STE 402, KANSAS CITY, KS 66101-2516
(913) 321-3999
(913) 321-5766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6742
KS
Other
Enumeration date
10/28/2005
Last updated
07/08/2007
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