Individual
DR. STEPHANIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 S HOVER RD, LONGMONT, CO 80501-7959
(303) 994-4401
Mailing address
1981 EMERALD DR, LONGMONT, CO 80504-7778
(303) 994-4401
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9671
CO
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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