Individual
DR. SPENCER LEE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4501 E 41ST ST, SIOUX FALLS, SD 57110-7200
(605) 339-1369
Mailing address
47217 273RD ST, HARRISBURG, SD 57032-8124
(605) 354-3353
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1199
SD
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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