| Organization Name: | GROSMAN PEDIATRIC DENTISTRY AND ORTHODONTICS |
| NPI Number: | 1043681836 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA MARRANZINI-GROSMAN (OWNER) |
| Mailing Address: | 4401 S Flamingo Rd Ste 109 Davie |
| State: | FL US |
| Postal Code: | 333301914 |
| Phone Number: | 9542363434 |
| Fax Number: | 9542363405 |
| NPI Enumeration Date: | 10/19/2015 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | DN20826 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |