DR. Luther Wayne Ross, DOCTOR DENTAL SURGER

NPI #1972602811 in Bastrop, Texas

Provider Information

NPI Number: 1972602811
Entity Type: Individual
Name: DR. Luther Wayne Ross, DOCTOR DENTAL SURGER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DOCTOR DENTAL SURGER
Enumeration Date: Sep 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 708 PECAN ST
City: Bastrop
State: Texas
ZIP Code: 78602-3816
Phone: (512) 331-2188

Specialties & Taxonomy Codes

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

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