Holly Gross DMD

NPI 1083810618 - Dentist - 122300000X

NPI Details
NPI 1083810618
Gender Female
Enumeration Date 06/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
58 LESLIE LANE
SMITHTOWN NY, 11787, US
Phone (631) 543-3250
Fax
Business Location
58 LESLIE LANE
SMITHTOWN NY, 11787, US
Phone (631) 543-3250
Fax
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 0366451
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According to our database, Dr. Holly Gross DMD NPI is 1083810618, taxonomy code is 122300000X and license number is 0366451, license state is located at New York. Holly Gross DMD physically located at 58 Leslie Lane, Smithtown NY, 11787. NPI Number Holly Gross DMD has the Individual type.

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1083810618 NPI number is provided on an as is basis without warranty of any kind. 1083810618 is maintained by the National Plan & Provider Enumeration System. The contents of Holly Gross DMD are for informational purposes only.