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Individual

DR. TIMOTHY WAYNE ROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
690 TETON TRL, FRANKFORT, KY 40601-1766
(502) 223-2300
Mailing address
101 PEAKS MILL RD, FRANKFORT, KY 40601-9435
(502) 875-4867

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6782
KY
1223G0001X
General Practice Dentistry
DN14484
FL

Other

Enumeration date
11/04/2006
Last updated
07/08/2007
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