Gross, Marc J.

Gross, Marc J. is an individual health care provider with primary practice located at 5400 Balboa Blvd , Encino CA 91316-1502. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gross, Marc J. can be contacted via phone (818) 990-5220.

Contact Information

Primary practice address
5400 Balboa Blvd Encino CA 91316-1502
Fax: (818) 990-5621
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DX35724 California

Profile Details

NPI number 1689615130
LBN Legal business name Gross, Marc J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 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.

Request for update

Popular Providers