Individual
DR. CHARLES GROSCOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4501 N 7TH ST, PHOENIX, AZ 85014-3804
(602) 845-5730
Mailing address
2425 E FLORIAN AVE, MESA, AZ 85204-5401
(480) 295-9598
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009458
AZ
1223G0001X
General Practice Dentistry
D009458
AZ
Other
Enumeration date
05/23/2016
Last updated
09/14/2022
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