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Individual
DR. GABRIEL ROSS
Active
Individual
DR. GABRIEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8574
SC
1223P0221X
Pediatric Dentistry
Primary
8574
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/15/2014
Last updated
01/28/2022
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