Individual
DR. MARK J GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11 E 86TH ST, 1A, NEW YORK, NY 10028-0501
(212) 987-7400
(212) 987-7498
Mailing address
11 E 86TH ST, 1A, NEW YORK, NY 10028-0501
(212) 987-7400
(212) 987-7498
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
035204
NY
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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