Organization
GROSSO ORTHODONTICS, LLC
Active
Parent organization
GROSSO ORTHODONTICS, LLC
Other names
Grosso Kids Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROSSO ORTHODONTICS, LLC
Authorized official
LINDSAY E GROSSO (OWNER)
(843) 970-3202
Entity
Organization
Contact information
Practice address
9919 DORCHESTER RD, SUMMERVILLE, SC 29485-8530
(843) 970-3202
Mailing address
9919 DORCHESTER RD, SUMMERVILLE, SC 29485-8530
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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