Individual
ANDREW MICHAEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12962 COLDWATER RD, FORT WAYNE, IN 46845-9517
(260) 637-4648
Mailing address
10011 WOODSTREAM DR, FORT WAYNE, IN 46804-7007
(765) 464-9533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014464A
IN
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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