| Dr Mitchell David Gruzmark, DMD | |
|
4931 Seminole Pratt Whitney Rd, Westlake, FL 33470-0040 | |
| (847) 757-8033 | |
| Not Available |
| Full Name | Dr Mitchell David Gruzmark |
|---|---|
| Gender | Male |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4931 Seminole Pratt Whitney Rd, Westlake, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790138774 | NPI | - | NPPES |
| 114189300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019030822 (Illinois) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN24566 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitchell David Gruzmark, DMD 8499 Nw 14th Ct, Coral Springs, FL 33071-6208 Ph: (847) 757-8033 | Dr Mitchell David Gruzmark, DMD 4931 Seminole Pratt Whitney Rd, Westlake, FL 33470-0040 Ph: (847) 757-8033 |
Dr. Deanna Pandolfo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4951 Seminole Pratt Whitney Rd Ste 1100, Westlake, FL 33470 Phone: 561-566-7895 Fax: 561-566-7126 |