Organization
GERALD R. GRASSO DMD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD R. GRASSO (PRESIDENT)
(617) 389-4440
Entity
Organization
Contact information
Practice address
816 BROADWAY, EVERETT, MA 02149-3026
(617) 389-4440
Mailing address
816 BROADWAY, EVERETT, MA 02149-3026
(617) 389-4440
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12545
MA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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