| NPI | 1720460777 |
|---|---|
| Other Name | DANIEL GROSS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901021622) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2018-11-12 |