Organization
W GREGORY ROSE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GREGORY ROSE DDS (BUSINESS OWNER)
(505) 296-5544
Entity
Organization
Contact information
Practice address
4550 EUBANK BLVD NE, SUITE 201, ALBUQUERQUE, NM 87111-2565
(505) 296-5544
(505) 296-6918
Mailing address
4550 EUBANK BLVD NE, SUITE 201, ALBUQUERQUE, NM 87111-2565
(505) 296-5544
(505) 296-6918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1897
NM
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/02/2011
Last updated
04/26/2011
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