Individual
DR. ERIN LEIGH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1788
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1788
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
055794-1
NY
1223P0221X
Pediatric Dentistry
Primary
30-023014
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0097604
—
OH
Enumeration date
07/16/2009
Last updated
09/13/2022
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