JESSE GROSSMAN

CLARKSTON, WA
NPI1225580962
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  DH60682830)
Enumeration Date2016-10-28
Last Update Date2016-10-28
Business Address
-- JESSE GROSSMAN RDH
844 6TH ST
CLARKSTON, WA 99403-2013
Phone number: 208-848-8300
Mailing Address
-- JESSE GROSSMAN RDH
844 6TH ST
CLARKSTON, WA 99403-2013
Phone number: 208-848-8300