Organization
GROSSO ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F GROSSO (OWNER/ORTHODONTIST)
(843) 899-5800
Entity
Organization
Contact information
Practice address
421 BARONY ST STE 6, MONCKS CORNER, SC 29461-3145
(843) 899-5800
(843) 899-5806
Mailing address
421 BARONY ST STE 6, MONCKS CORNER, SC 29461-3145
(843) 899-5800
(843) 899-5806
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2722
SC
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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