Gross, Audra
Gross, Audra is an individual health care provider with primary practice located at 1275 Oregon Ave Se , Bandon OR 97411-9102. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gross, Audra can be contacted via phone (541) 347-4321.Contact Information
Primary practice address
1275 Oregon Ave Se
Bandon OR 97411-9102
Phone: (541) 347-4321
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D10689 | Oregon |
Profile Details
| NPI number | 1467975789 |
|---|---|
| LBN Legal business name | Gross, Audra |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2017 |
| Last updated | Jul 18th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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