Individual
MRS. DEBRA ANNE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12711 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6053
(360) 896-4484
Mailing address
2504 NW CHAPEL HILL DR, WOODLAND, WA 98674-3016
(360) 263-5204
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A5557
OR
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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