Individual
DR. THEODORE GROSSMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3801 N UNIVERSITY DR, SUITE 505, SUNRISE, FL 33351-6332
(954) 748-8005
Mailing address
3801 N UNIVERSITY DR, SUITE 505, SUNRISE, FL 33351-6332
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN06818
FL
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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