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Individual

DR. STEPHEN LOUIS GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7421 MEXICO RD, SUITE 202, SAINT PETERS, MO 63376-1369
(636) 970-7902
(636) 970-3359
Mailing address
7421 MEXICO RD, SUITE 202, SAINT PETERS, MO 63376-1369
(636) 970-7902
(636) 970-3359

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1742
ND
122300000X
Dentist
2011003086
MO

Other

Enumeration date
02/18/2014
Last updated
02/18/2014
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