DR. Jean C. Gross Deangelo, D.M.D.

NPI #1710033360 in Venetia, Pennsylvania

Provider Information

NPI Number: 1710033360
Entity Type: Individual
Name: DR. Jean C. Gross Deangelo, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.M.D.
Enumeration Date: Jan 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 203 SIENNA TRL
City: Venetia
State: Pennsylvania
ZIP Code: 15367-1317
Phone: (724) 942-9809

Specialties & Taxonomy Codes

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

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