Mallory Grossman, DDS

NPI #1790198547 in Arlington, Virginia

Provider Information

NPI Number: 1790198547
Entity Type: Individual
Name: Mallory Grossman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 10, 2014
Last Updated: Sep 1, 2015

Practice Location

Address: 1600 WILSON BLVD STE 620
City: Arlington
State: Virginia
ZIP Code: 22209-2596
Phone: (703) 524-0288

Specialties & Taxonomy Codes

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

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