| NPI | 1811553324 |
|---|---|
| Former Legal Business Name | DR JAY GROSSMAN & ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JAY GROSSMAN Owner 310-820-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |