Organization
DDS-TAPESTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ROSE DMD (OWNER)
(248) 534-6769
Entity
Organization
Contact information
Practice address
7633 E JEFFERSON AVE, STE 200, DETROIT, MI 48214-3730
(313) 833-2895
(313) 244-0661
Mailing address
7310 WOODWARD AVE STE 400, DETROIT, MI 48202-3165
(313) 576-2554
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
12/13/2016
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