Individual
DR. AMANDA MITCHELL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
5665 WOODROW BEAN, EL PASO, TX 79924-4100
(915) 751-7779
Mailing address
1407 FRANKLIN DELL, EL PASO, TX 79912-7481
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34250
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34250
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DD5581
NM
Other
Enumeration date
02/25/2019
Last updated
09/07/2022
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