Individual
DR. ALLA SIPORA GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9433 OLIVE BLVD STE 200, SAINT LOUIS, MO 63132-3132
(314) 993-6706
(314) 993-1263
Mailing address
9433 OLIVE BLVD STE 200, SAINT LOUIS, MO 63132-3132
(314) 993-6706
(314) 993-1263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MO015730
MO
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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