DR. Shepherd Gross JR., DDS

NPI #1417019746 in Homewood, Illinois

Provider Information

NPI Number: 1417019746
Entity Type: Individual
Name: DR. Shepherd Gross JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 14, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 1947 RIDGE ROAD
City: Homewood
State: Illinois
ZIP Code: 60430
Phone: (708) 957-5836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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