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Individual

BRIENNE NICOLE GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
2001 W 45TH ST, SIOUX FALLS, SD 57105-6265
(605) 338-9242
Mailing address
2001 W 45TH ST, SIOUX FALLS, SD 57105-6265
(605) 338-9242

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0983
SD

Other

Enumeration date
05/13/2012
Last updated
08/01/2016
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