Individual
DR. REGINALD RANDOLPH ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 CLOCK TOWER DRIVE, SUITE 3, SPRINGFIELD, IL 62704
(217) 787-2400
(217) 787-2442
Mailing address
1001 CLOCK TOWER DRIVE, SUITE 3, SPRINGFIELD, IL 62704
(217) 787-2400
(217) 787-2442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEAAR8762519
IL
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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