| NPI | 1205474731 |
|---|---|
| Doing Business As | GROSSO KIDS PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LINDSAY E GROSSO Owner 843-970-3202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |