Ira Robert Grose, DMD Valid NPI
Individual provider · General Practice Dentistry · Woodland Hills, CA
- NPI
- 1720164601
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 51034 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-31
- Last updated
- 2007-07-08
Practice location
23111 Ventura Blvd, Suite 204
Woodland Hills, CA 91364-1103
(818) 225-1630