Grossman, Jesse
Grossman, Jesse is an individual health care provider with primary practice located at 844 6Th St , Clarkston WA 99403-2013. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Grossman, Jesse can be contacted via phone (208) 848-8300.Contact Information
Primary practice address
844 6Th St
Clarkston WA 99403-2013
Phone: (208) 848-8300
Fax: (208) 848-8306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH60682830 | Washington |
Profile Details
| NPI number | 1225580962 |
|---|---|
| LBN Legal business name | Grossman, Jesse |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2016 |
| Last updated | Oct 28th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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