Individual
DR. STEPHEN MICHAEL GRUSSMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS.,MSD
Contact information
Practice address
7400 N KENDALL DR, SUITE 604, MIAMI, FL 33156-7706
(305) 670-0263
(305) 670-0151
Mailing address
7400 N KENDALL DR, SUITE 604, MIAMI, FL 33156-7706
(305) 670-0263
(305) 670-0151
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3762
FL
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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