Individual
DR. BRUCE EUGENE ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4045 NE LAKEWOOD WAY, SUITE 150, LEES SUMMIT, MO 64064-1703
(816) 350-9119
Mailing address
4045 NE LAKEWOOD WAY, SUITE 150, LEES SUMMIT, MO 64064-1703
(816) 350-9119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012425
MO
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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