Individual
DR. ISRAEL C GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 FLETCHER RD APT C, MONSEY, NY 10952
(845) 414-9672
Mailing address
932 CHESTNUT RIDGE RD, SPRING VALLEY, NY 10977-6608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059880
NY
Other
Enumeration date
06/23/2017
Last updated
09/13/2018
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