Individual
RALPH ERNEST GROSSHEIM JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
51 SMITH AVE, HOHENWALD, TN 38462-1124
(931) 796-2204
Mailing address
1001 OLD HIGHWAY 99, COLUMBIA, TN 38401-7720
(931) 381-7667
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D57680
TN
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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