| Dental Practice Of Drs. Mckelvey & Grossman, A Prof. Dental Corp. | |
|
22629 Twain Harte Dr Twain Harte CA 95383-9405 | |
| (209) 586-2772 | |
| Not Available |
| Full Name | Dental Practice Of Drs. Mckelvey & Grossman, A Prof. Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 22629 Twain Harte Dr, Twain Harte, California |
| Authorized Official Name and Position | Phillip Grossman (DDS) |
| Authorized Official Contact | 2095862772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Practice Of Drs. Mckelvey & Grossman, A Prof. Dental Corp. 22629 Twain Harte Dr Twain Harte CA 95383-9405 Ph: (209) 586-2772 | Dental Practice Of Drs. Mckelvey & Grossman, A Prof. Dental Corp. 22629 Twain Harte Dr Twain Harte CA 95383-9405 Ph: (209) 586-2772 |
| NPI Number | 1578885141 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 02/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578885141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Miller Skinner And Dastrup Dental Corporation Of Twain Harte Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17961 Plateau Road, Twain Harte, CA 95383 Phone: 209-586-1061 Fax: 209-586-1076 |