Individual
DR. WILLIAM GREGORY ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4550 EUBANK BLVD NE, SUITE 201, ALBUQUERQUE, NM 87111-3479
(505) 296-5544
(505) 296-6918
Mailing address
4550 EUBANK BLVD NE, SUITE 201, ALBUQUERQUE, NM 87111-3479
(505) 296-5544
(505) 296-6918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD1897
NM
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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