# DR. LINDSEY N R GROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1639723778
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D-5076 | ID | — |
| 122300000X | Dentist | DDS104057 | CA | — |
| 1223G0001X | General Practice Dentistry | DEN-DEN-LIC-28536 | MT | Yes |

## Other

- **Enumeration date:** 07/26/2019
- **Last updated:** 12/25/2024
