Individual
DR. STANLEY M. GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
351 W 6TH ST, SUITE 100, FORT STEWART, GA 31314-4703
(912) 767-6735
(912) 767-5425
Mailing address
351 W. 6TH ST, SUITE 100, FORT STEWART, GA 31314-4704
(912) 767-6735
(912) 767-5425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
027540
NY
Other
Enumeration date
05/04/2006
Last updated
03/16/2012
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