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1104851856
ROBERT LEE GROSS
BREMERTON, WA
NPI
1104851856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WA DE00003466)
Enumeration Date
2006-07-11
Last Update Date
2012-10-02
Business Address
-- ROBERT LEE GROSS DDS
616 6TH ST
BREMERTON, WA 98337-1420
Phone number: 360-478-2368
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Mailing Address
-- ROBERT LEE GROSS DDS
PO BOX 960
BREMERTON, WA 98337-0212
Phone number: 360-478-2366
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