| Grosso Orthodontics | |
|
421 Barony St Ste 6 Moncks Corner SC 29461-3145 | |
| (843) 899-5800 | |
| (843) 899-5806 |
| Full Name | Grosso Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 421 Barony St Ste 6, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Michael F Grosso (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 8438995800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grosso Orthodontics 421 Barony St Ste 6 Moncks Corner SC 29461-3145 Ph: (843) 899-5800 | Grosso Orthodontics 421 Barony St Ste 6 Moncks Corner SC 29461-3145 Ph: (843) 899-5800 |
| NPI Number | 1366805152 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366805152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2722 (South Carolina) | Primary |
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