Individual
DR. REBECCA BURACK GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1146 N NEW HOPE RD, GASTONIA, NC 28054-2959
(704) 865-6425
(704) 865-2568
Mailing address
1146 N NEW HOPE RD, GASTONIA, NC 28054-2959
(704) 865-6425
(704) 865-2568
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
N6197
NC
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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