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Individual

DR. PHILIP JOEL GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
101 SW MAIN ST, STE 290, PORTLAND, OR 97204-3228
(503) 223-5125
(503) 221-6915
Mailing address
101 SW MAIN ST, STE 290, PORTLAND, OR 97204-3228
(503) 223-5125
(503) 221-6915

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5464
OR

Other

Enumeration date
11/06/2006
Last updated
07/08/2007
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