Individual
DR. MICHAEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(972) 345-3818
Mailing address
9181 TOWN SQUARE BLVD APT 2514, AMARILLO, TX 79119-1238
(972) 345-3818
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30187
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30187
TX
Other
Enumeration date
01/15/2015
Last updated
06/22/2021
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