Individual
ELIZABETH ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF DENTISTRY, BOSTON, MA 02115-5724
(617) 355-6571
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF DENTISTRY, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DL10799
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DF11965
MA
Other
Enumeration date
09/21/2006
Last updated
08/08/2023
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