Individual
DR. ANDREW BRYAN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
63 CHESTNUT RD, SUITE 1, PAOLI, PA 19301-1535
(610) 647-4363
Mailing address
63 CHESTNUT RD, SUITE 1, PAOLI, PA 19301-1535
(610) 647-4363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-024171-L
PA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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