| Rossodontics Dental Sleep Medicine | |
|
2215 Vine St Suite B Hudson WI 54016-5802 | |
| (651) 501-1467 | |
| Not Available |
| Full Name | Rossodontics Dental Sleep Medicine |
|---|---|
| Speciality | Dentist |
| Location | 2215 Vine St, Hudson, Wisconsin |
| Authorized Official Name and Position | Gregory Kent Ross (OWNER) |
| Authorized Official Contact | 6515011467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rossodontics Dental Sleep Medicine 2215 Vine St Suite B Hudson WI 54016-5802 Ph: (651) 501-1467 | Rossodontics Dental Sleep Medicine 2215 Vine St Suite B Hudson WI 54016-5802 Ph: (651) 501-1467 |
| NPI Number | 1912457003 |
|---|---|
| Provider Enumeration Date | 10/12/2016 |
| Last Update Date | 10/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912457003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4673-15 (Wisconsin) | Primary |
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