Individual
DR. GABRIEL LE GROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6855 S 27TH ST, FRANKLIN, WI 53132-8045
(144) 435-0787
Mailing address
W187S8663 JEAN DR, MUSKEGO, WI 53150-8726
(262) 424-0175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002043
WI
Other
Enumeration date
05/16/2019
Last updated
03/11/2020
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