Individual
TRACY JOHN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1029 3RD AVE, WORTHINGTON, MN 56187-2398
(507) 376-9797
Mailing address
1029 3RD AVE, WORTHINGTON, MN 56187-2398
(507) 376-9797
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
133
SD
Other
Enumeration date
06/11/2008
Last updated
04/03/2023
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