Individual
JESSE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
844 6TH ST, CLARKSTON, WA 99403-2013
(208) 848-8300
(208) 848-8306
Mailing address
844 6TH ST, CLARKSTON, WA 99403-2013
(208) 848-8300
(208) 848-8306
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60682830
WA
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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