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Organization
DENTAL PRACTICE OF DRS. MCKELVEY & GROSSMAN, A PROF. DENTAL CORP.
Active
Organization
DENTAL PRACTICE OF DRS. MCKELVEY & GROSSMAN, A PROF. DENTAL CORP.
Active
Other names
Twain Harte Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP GROSSMAN (DDS)
(209) 586-2772
Entity
Organization
Contact information
Practice address
22629 TWAIN HARTE DR, TWAIN HARTE, CA 95383-9405
(209) 586-2772
Mailing address
22629 TWAIN HARTE DR, TWAIN HARTE, CA 95383-9405
(209) 586-2772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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