Individual
DR. HERSCHEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HERSCHEL ROSS DDS
Contact information
Practice address
234 MIDLAND AVE, BASALT, CO 81621-8162
(970) 927-9112
(970) 927-5342
Mailing address
PO BOX 1999, BASALT, CO 81621-1999
(970) 927-9112
(970) 927-5342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4389
CO
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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