Individual
PIERCE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
497 E US HIGHWAY 40, BRAZIL, IN 47834-7745
(812) 443-2541
Mailing address
497 E US HIGHWAY 40, BRAZIL, IN 47834-7745
(812) 443-2541
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014508A
IN
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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