Individual
DR. ROSS WENGROVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1317 3RD AVE FL 6, NEW YORK, NY 10021-2956
(212) 355-7760
Mailing address
301 E 38TH ST APT 5A, NEW YORK, NY 10016-2764
(631) 484-6186
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
059874
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2016
Last updated
07/31/2018
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