Individual
JENNIFER GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
125 ASCOT DRIVE, SUITE A, ROSEVILLE, CA 95661-3408
(916) 786-7070
(916) 786-5696
Mailing address
125 ASCOT DRIVE, SUITE A, ROSEVILLE, CA 95661-3408
(916) 786-7070
(916) 786-5696
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
43696
CA
Other
Enumeration date
01/05/2007
Last updated
02/17/2009
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