Individual
DR. JOSEPH EDWARD GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3540 N BELT W, SUITE B, BELLEVILLE, IL 62226-5975
(618) 235-9101
Mailing address
3540 N BELT W, SUITE B, BELLEVILLE, IL 62226-5975
(618) 235-9101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.029035
IL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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