Grossman Dds, Incorporated | |
27569 Hopi Springs Ct Corona CA 92883-6606 | |
(951) 674-2720 | |
(951) 346-3253 |
Full Name | Grossman Dds, Incorporated |
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Speciality | Dentist |
Location | 27569 Hopi Springs Ct, Corona, California |
Authorized Official Name and Position | John Robert Grossman (PRESIDENT) |
Authorized Official Contact | 9516742720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grossman Dds, Incorporated 27569 Hopi Springs Ct Corona CA 92883-6606 Ph: (951) 674-2720 | Grossman Dds, Incorporated 27569 Hopi Springs Ct Corona CA 92883-6606 Ph: (951) 674-2720 |
NPI Number | 1578964060 |
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Provider Enumeration Date | 09/16/2014 |
Last Update Date | 09/16/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578964060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 41413 (California) | Primary |
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