Individual
DR. LESLIE RAYMOND GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
722 MARKET ST, PHILADELPHIA, PA 19106-2312
(215) 922-5101
Mailing address
777 W GERMANTOWN PIKE APT 923, PLYMOUTH MEETING, PA 19462-1022
(610) 279-7292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS035483
PA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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