Individual
RENIE MADELON GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
11239 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(301) 593-4400
(301) 593-1587
Mailing address
5225 POOKS HILL RD, #1409N, BETHESDA, MD 20814-2052
(301) 897-3786
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10854
MD
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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