| NPI | 1558396671 |
|---|---|
| Former Name | DONNA C ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 051750) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 8025) |
| 1223G0001X Dentist, General Practice (Licence: NC 8025) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-05-16 |