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Individual

STEPHEN H GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
77 GREAT ROAD, SUITE 206, ACTON, MA 01720
(978) 263-1313
(978) 264-4440
Mailing address
77 GREAT ROAD, SUITE 206, ACTON, MA 01720
(978) 263-1313
(978) 264-4440

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
14579
MA

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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