Individual
ADAM DAVID ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8796 BRUNSWICK RD, MINOCQUA, WI 54548-9346
(715) 356-2060
Mailing address
8796 BRUNSWICK RD, MINOCQUA, WI 54548-9346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002107-15
WI
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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