Individual
DR. RONALD MARK GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6525 BELCREST RD, SUITE 212, HYATTSVILLE, MD 20782-2003
(301) 927-2900
(301) 927-2747
Mailing address
6525 BELCREST RD, SUITE 212, HYATTSVILLE, MD 20782-2003
(301) 927-2900
(301) 927-2747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6978
MD
1223G0001X
General Practice Dentistry
Primary
6978
MD
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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