Organization
W BRIAN ROSS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRIAN ROSS (OWNER)
(847) 234-8608
Entity
Organization
Contact information
Practice address
1400 N WESTERN AVE, LAKE FOREST, IL 60045-5404
(847) 234-8608
Mailing address
1400 N WESTERN AVE, LAKE FOREST, IL 60045-5404
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/04/2025
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