Samantha Kay Gross, DMD

NPI #1235869199 in Du Quoin, Illinois

Provider Information

NPI Number: 1235869199
Entity Type: Individual
Name: Samantha Kay Gross, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 14, 2022
Last Updated: Jun 14, 2022

Practice Location

Address: 1226 S WASHINGTON ST
City: Du Quoin
State: Illinois
ZIP Code: 62832-3853
Phone: (618) 542-8832

Specialties & Taxonomy Codes

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

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