Individual
DR. CLIFFORD WAYNE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
699 DOLORO DR, MORRISVILLE, PA 19067-6828
(215) 295-1251
(215) 295-9360
Mailing address
699 DOLORO DR, MORRISVILLE, PA 19067-6828
(215) 295-1251
(215) 295-9360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026518L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000053555
UNITED CONCORDIA I.D.#
PA
Enumeration date
05/02/2007
Last updated
07/08/2007
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