Individual
DR. BETHANY ANN WHITAKER ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43368 WOODWARD AVE STE 100, BLOOMFIELD HILLS, MI 48302-5051
(817) 781-1524
Mailing address
2342 JOHN R RD APT 105, TROY, MI 48083-2569
(817) 781-1524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901600245
MI
Other
Enumeration date
07/02/2019
Last updated
05/04/2022
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