Gordon S. Groisser, DDS, Msd
Dentist, Orthodontics and Dentofacial Orthopedics in Hagerstown, MD. Organization (NPI-2).
NPI number1790055804
StatusActive
Last updated in NPPESJan 5, 2012
Details
- NPI
- 1790055804
- Entity type
- Organization (NPI-2)
- Legal business name
- Gordon S. Groisser, DDS, Msd
- Organization subpart
- Yes
- Enumeration date
- Jan 5, 2012
- Last updated
- Jan 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 13507 | MD | Yes |
Other names
- Village Orthodontics (Doing Business As)
Practice location
18638 Crestwood DriveLower Level
Hagerstown, MD 21742
Phone 301-393-2680 · Fax 301-393-2682
Mailing address
18638 Crestwood DriveLower Level
Hagerstown, MD 21742
Phone 301-393-2680 · Fax 301-393-2682
Authorized official
Gordon S Groisser
Owner/President
3013932680
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