Gross, Gordon D

Gross, Gordon D is an individual health care provider with primary practice located at 2715 W Northern Ave Suite 102, Phoenix AZ 85051-6641. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gross, Gordon D can be contacted via phone (602) 995-0280.

Contact Information

Primary practice address
2715 W Northern Ave Suite 102 Phoenix AZ 85051-6641
Phone: (602) 995-0280
Fax: (602) 864-9161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1776 Arizona

Profile Details

NPI number 1629038955
LBN Legal business name Gross, Gordon D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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