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Individual
ROBERT GRASSO
Active
Individual
ROBERT GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
35607
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
30.027678
OH
390200000X
Student in an Organized Health Care Education/Training Program
35607
TX
Other
Enumeration date
04/12/2019
Last updated
08/02/2024
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