Individual
GREGORY BENNETT GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
Mailing address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105450
CO
Other
Enumeration date
12/06/2005
Last updated
11/11/2019
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