Individual
DR. LISA T GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2425 EAST ST STE 16, CONCORD, CA 94520
(925) 676-2160
(925) 676-2165
Mailing address
2425 EAST ST STE 16, CONCORD, CA 94520-1926
(925) 676-2160
(925) 676-2165
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
42050
CA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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