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Organization
DR JAY GROSSMAN & ASSOCIATES
Active
Organization
DR JAY GROSSMAN & ASSOCIATES
Active
Other names
Dr Jay Grossman & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JAY GROSSMAN DDS (OWNER)
(310) 820-0123
Entity
Organization
Contact information
Practice address
11980 SAN VICENTE BLVD STE 507, LOS ANGELES, CA 90049-6603
(310) 820-0123
Mailing address
11980 SAN VICENTE BLVD STE 507, LOS ANGELES, CA 90049-6603
(310) 820-0123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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