Organization
DOUGLAS M GROSMARK DMD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE LOPEZ (OFFICE ADMINISTRATOR)
(619) 286-1181
Entity
Organization
Contact information
Practice address
6398 DEL CERRO BLVD STE 1, SAN DIEGO, CA 92120-4760
(619) 286-1181
(619) 286-1438
Mailing address
6398 DEL CERRO BLVD STE 1, SAN DIEGO, CA 92120-4760
(619) 286-1181
(619) 286-1438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
CA
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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