Individual
WALTER S GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20575 CENTER RIDGE ROAD, SUITE 400, ROCKY RIVER, OH 44116
(440) 333-4987
(440) 333-4986
Mailing address
20575 CENTER RIDGE ROAD, SUITE 400, ROCKY RIVER, OH 44116
(440) 333-4987
(440) 333-4986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912066366
—
OH
Enumeration date
03/21/2013
Last updated
03/21/2013
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