Individual
DR. MICHAEL STEPHEN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4230 E CHARLESTON BLVD, LAS VEGAS, NV 89104-2397
(702) 459-8998
(702) 459-8078
Mailing address
4230 E CHARLESTON BLVD, LAS VEGAS, NV 89104-2397
(702) 459-8998
(702) 459-8078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5765
NV
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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