Individual
DR. JASON L GROSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2408 HIGHWAY 94 SOUTH, ST. CHARLES, MO 63303
(636) 928-4888
(636) 928-4108
Mailing address
2408 HIGHWAY 94 SOUTH, ST. CHARLES, MO 63303
(636) 928-4888
(636) 928-4108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2001023743
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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