Organization
PHILIP J. GROSS D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILI; JOEL GROSS D.D.S., P.C. (DOCTOR)
(503) 223-5125
Entity
Organization
Contact information
Practice address
101 SW MAIN ST STE 290, PORTLAND, OR 97204-3244
(503) 223-5125
(503) 221-6915
Mailing address
101 SW MAIN ST STE 290, PORTLAND, OR 97204-3244
(503) 223-5125
(503) 221-6915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5464
OR
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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