Individual
DR. MARC J. GROSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5400 BALBOA BLVD, ENCINO, CA 91316-1502
(818) 990-5220
(818) 990-5621
Mailing address
5400 BALBOA BLVD, ENCINO, CA 91316-5229
(818) 990-5220
(818) 990-5621
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DX35724
CA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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