Individual
KELSEY HEATHER GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
34501 AURORA RD, SUITE 303, SOLON, OH 44139-3873
(440) 248-4100
Mailing address
7455 WORLINGTON DR, SOLON, OH 44139-5698
(440) 539-4505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-024180
OH
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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