STACIE LEE GROSS

BRAINERD, MN
NPI1700116316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MN  H7554)
Enumeration Date2010-01-04
Last Update Date2010-01-04
Business Address
MRS. STACIE LEE GROSS RDH
501 WEST COLLEGE DRIVE
BRAINERD, MN 56401
Phone number: 218-855-8272
Mailing Address
MRS. STACIE LEE GROSS RDH
501 WEST COLLEGE DRIVE
BRAINERD, MN 56401
Phone number: 218-855-8272