Individual
DR. ENOCH NATHAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12641 OLD GLENN HWY, SUITE 104, EAGLE RIVER, AK 99577-7039
(907) 622-7874
(907) 622-7876
Mailing address
PO BOX 112452, ANCHORAGE, AK 99511-2452
(909) 528-0533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1189
AK
122300000X
Dentist
8665
OR
122300000X
Dentist
DE00011127
WA
Other
Enumeration date
03/21/2007
Last updated
03/07/2017
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