Organization
GORDON S. GROISSER, DDS, MSD
Active
Organization
GORDON S. GROISSER, DDS, MSD
Active
Parent organization
GORDON S. GROISSER, DDS, MSD
Other names
Village Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
GORDON S. GROISSER, DDS, MSD
Authorized official
DR. GORDON S GROISSER DDS, MSD (OWNER/PRESIDENT)
(301) 393-2680
Entity
Organization
Contact information
Practice address
18638 CRESTWOOD DRIVE, LOWER LEVEL, HAGERSTOWN, MD 21742
(301) 393-2680
(301) 393-2682
Mailing address
18638 CRESTWOOD DRIVE, LOWER LEVEL, HAGERSTOWN, MD 21742
(301) 393-2680
(301) 393-2682
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13507
MD
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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