Individual
DR. ROBERT DOUGLAS ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1602 GRANDIN RD, ROANOKE, VA 24015
(540) 344-9361
(540) 344-9377
Mailing address
3940 BUCK MOUNTAIN ROAD, ROANOKE, VA 24014
(540) 772-4334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007069
VA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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