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1720164601
IRA ROBERT GROSE
WOODLAND HILLS, CA
NPI
1720164601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 51034)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
Dr. IRA ROBERT GROSE DMD
23111 VENTURA BLVD SUITE 204
WOODLAND HILLS, CA 91364-1103
Phone number: 818-225-1630
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Mailing Address
Dr. IRA ROBERT GROSE DMD
23111 VENTURA BLVD SUITE 204
WOODLAND HILLS, CA 91364-1103
Phone number: 818-225-1630
Copy
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