Individual
ROBERT LEE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 478-2368
(360) 475-3700
Mailing address
PO BOX 960, BREMERTON, WA 98337-0212
(360) 478-2366
(360) 373-2096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00003466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5541305
—
WA
Enumeration date
07/11/2006
Last updated
10/02/2012
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