Individual
DR. TYSON GARY BROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., PH.D.
Contact information
Practice address
129 LUBRANO DR, SUITE 300, ANNAPOLIS, MD 21401-7564
(410) 224-0018
(410) 224-4214
Mailing address
129 LUBRANO DR, SUITE 300, ANNAPOLIS, MD 21401-7564
(410) 224-0018
(410) 224-4214
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS036891
PA
1223P0221X
Pediatric Dentistry
Primary
14024
MD
Other
Enumeration date
02/13/2008
Last updated
04/13/2016
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