Individual
DR. DOUGLAS M GROSMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6398 DEL CERRO BLVD STE 1, SAN DIEGO, CA 92120-4760
(619) 286-1181
Mailing address
6398 DEL CERRO BLVD STE 1, SAN DIEGO, CA 92120-4760
(619) 286-1181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33290
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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