KENT GROSS

FORT WAYNE, IN
NPI1811083249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12010892A)
Enumeration Date2006-10-05
Last Update Date2007-07-09
Business Address
-- KENT GROSS DDS
1852 BLUFFTON RD
FORT WAYNE, IN 46809-1306
Phone number: 260-479-1086
Mailing Address
-- KENT GROSS DDS
13214 BOARSTONE CV
FORT WAYNE, IN 46845-8730
Phone number:
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