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Individual

DR. JONATHAN HAROLD ROSS

Active
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Individual

DR. JONATHAN HAROLD ROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.H.S.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30023878
OH
1223G0001X
General Practice Dentistry
4408
SC
1223P0300X
Periodontics
Primary
30023878
OH
1223P0300X
Periodontics
4408
SC

Other

Enumeration date
03/09/2008
Last updated
05/14/2013
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