Dr Kenneth E Ross, Dmd, Msd, PA

NPI #1376688473 in Lighthouse Point, Florida

Provider Information

NPI Number: 1376688473
Entity Type: Organization
Organization Name: Dr Kenneth E Ross, Dmd, Msd, PA
Primary Specialty: Dentist - Periodontics
Enumeration Date: Feb 20, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2211 NE 36TH ST
Address 2: STE. 103
City: Lighthouse Point
State: Florida
ZIP Code: 33064-7577
Phone: (954) 941-2277

Authorized Official

Name: DR. KENNETH E. ROSS, DMD
Title: PERIODONTIST
Phone: (954) 941-2277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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