Individual
DR. MICHAEL EDWARD GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2946 SLEEPY HOLLOW RD, SUITE #2-G, FALLS CHURCH, VA 22044-2003
(703) 532-0072
(703) 532-0213
Mailing address
2946 SLEEPY HOLLOW RD, SUITE #2-G, FALLS CHURCH, VA 22044-2003
(703) 532-0072
(703) 532-0213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410772
VA
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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