Edward R Grossman, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Exton, PA

NPI

1043364052

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DS027844L (PA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-23

Last updated

2007-07-08