Individual
DR. EMMANUEL BERNARD GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1243 7TH ST, SUITE # C, SANTA MONICA, CA 90401-1605
(310) 451-5748
Mailing address
1243 7TH ST, SUITE # C, SANTA MONICA, CA 90401-1605
(310) 451-5748
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
39266
CA
Other
Enumeration date
11/28/2005
Last updated
04/17/2020
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