| Gerald R. Grasso Dmd,pc | |
|
816 Broadway Everett MA 02149-3026 | |
| (617) 389-4440 | |
| Not Available |
| Full Name | Gerald R. Grasso Dmd,pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 816 Broadway, Everett, Massachusetts |
| Authorized Official Name and Position | Gerald R. Grasso (PRESIDENT) |
| Authorized Official Contact | 6173894440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald R. Grasso Dmd,pc 816 Broadway Everett MA 02149-3026 Ph: (617) 389-4440 | Gerald R. Grasso Dmd,pc 816 Broadway Everett MA 02149-3026 Ph: (617) 389-4440 |
| NPI Number | 1093872541 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093872541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 12545 (Massachusetts) | Primary |
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