Individual
MALEA JANE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
6496 HWY 269 SUITE 201, PARRISH, AL 35580
(205) 686-2799
(205) 686-0000
Mailing address
P.O. BOX 267, PARRISH, AL 35580
(205) 686-2799
(205) 686-0000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4924
AL
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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