| Marc L Grossman Dds James B Smith Dds Apc | |
|
228 Green Valley Rd Freedom CA 95019-3136 | |
| (831) 722-9202 | |
| (831) 722-4301 |
| Full Name | Marc L Grossman Dds James B Smith Dds Apc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 228 Green Valley Rd, Freedom, California |
| Authorized Official Name and Position | Marc L Grossman (VICE PRESIDENT) |
| Authorized Official Contact | 8317229202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc L Grossman Dds James B Smith Dds Apc 228 Green Valley Rd Freedom CA 95019-3136 Ph: (831) 722-9202 | Marc L Grossman Dds James B Smith Dds Apc 228 Green Valley Rd Freedom CA 95019-3136 Ph: (831) 722-9202 |
| NPI Number | 1932323433 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932323433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 26311 (California) | Primary |
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Louis Hong Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1714 Freedom Blvd, Freedom, CA 95019 Phone: 831-768-0707 | |
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