Individual
DR. JEAN C. GROSS DEANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
203 SIENNA TRL, VENETIA, PA 15367-1317
(724) 942-9809
Mailing address
203 SIENNA TRL, VENETIA, PA 15367-1317
(724) 942-9809
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS027422L
PA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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