Individual
BRADLEY A. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6902 NAVAJO RD, SAN DIEGO, CA 92119-1563
(619) 582-9700
Mailing address
6902 NAVAJO RD, SAN DIEGO, CA 92119-1563
(619) 582-9700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34414
CA
Other
Enumeration date
06/17/2007
Last updated
07/08/2007
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