Individual
JOHN W ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4520 LOWER TERRACE CIR NE, ALBUQUERQUE, NM 87111-2563
(505) 299-4431
(505) 291-0265
Mailing address
4520 LOWER TERRACE CIR NE, ALBUQUERQUE, NM 87111-2563
(505) 299-4431
(505) 291-0265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NM910
NM
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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