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Individual

KENNETH E. GROSSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7800 RED RD STE 116, SOUTH MIAMI, FL 33143-5543
(305) 666-2828
(305) 666-2935
Mailing address
7800 RED RD STE 116, SOUTH MIAMI, FL 33143-5543
(305) 666-2828
(305) 666-2935

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5170
FL

Other

Enumeration date
01/30/2012
Last updated
01/30/2012
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