MR. Matthew Grossman, DDS

NPI #1457470650 in Kingston, New York

Provider Information

NPI Number: 1457470650
Entity Type: Individual
Name: MR. Matthew Grossman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 370 KINGS MALL CT
City: Kingston
State: New York
ZIP Code: 12401-1576
Phone: (845) 336-8478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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