Individual
GERALD R GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
816 BROADWAY, EVERETT, MA 02149-3026
(617) 389-4440
Mailing address
816 BROADWAY, EVERETT, MA 02149-3026
(617) 389-4440
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12545
MA
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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