Individual
DR. SARA G GROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4203 WHITETAIL CT, GREENVILLE, NC 27834-0527
(252) 752-4336
Mailing address
4203 WHITETAIL CT, GREENVILLE, NC 27834-0527
(252) 752-3446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10193
NC
1223P0221X
Pediatric Dentistry
10193
NC
1223P0300X
Periodontics
10193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907748
—
NC
Enumeration date
09/10/2007
Last updated
01/27/2017
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