Individual
DR. JERALD ALLEN GROTSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 RIDGE VIEW DR, SUITE 103, CARY, NC 27511-5589
(919) 467-2203
Mailing address
100 RIDGE VIEW DR, SUITE 103, CARY, NC 27511-5589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4139
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93434
—
NC
Enumeration date
12/19/2005
Last updated
07/08/2007
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