Organization
ROSSODONTICS DENTAL SLEEP MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY KENT ROSS DDS (OWNER)
(651) 501-1467
Entity
Organization
Contact information
Practice address
2215 VINE ST, SUITE B, HUDSON, WI 54016-5802
(651) 501-1467
Mailing address
2215 VINE ST, SUITE B, HUDSON, WI 54016-5802
(651) 501-1467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4673-15
WI
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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