Organization
ROSS DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JATERRA DOMINIQUE ROSS DMD (OWNER)
(847) 404-7029
Entity
Organization
Contact information
Practice address
2111 E UNIVERSITY DR, PROSPER, TX 75078-7240
(214) 225-2358
(469) 881-8258
Mailing address
608 MEANDERING TRL, LITTLE ELM, TX 75068-4835
(847) 404-7029
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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