Individual
DR. LYNDA DENISE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
198 CAROLINIAN DR, SUMMERVILLE, SC 29485-6275
(843) 376-3131
Mailing address
198 CAROLINIAN DR, SUMMERVILLE, SC 29485-6275
(843) 376-3131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE014261
MO
Other
Enumeration date
02/03/2006
Last updated
09/08/2007
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