Tom M Ross, DDS

NPI #1144493347 in Lockport, Illinois

Provider Information

NPI Number: 1144493347
Entity Type: Individual
Name: Tom M Ross, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 1002 S STATE ST
City: Lockport
State: Illinois
ZIP Code: 60441-3438
Phone: (815) 838-7174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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