Provider Demographics
NPI:1851317481
Name:FRANK D. GROSSMAN AND NORMAN A. WHYTOCK A DENTAL CORPORATION
Entity Type:Organization
Organization Name:FRANK D. GROSSMAN AND NORMAN A. WHYTOCK A DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:GROSSMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-242-4526
Mailing Address - Street 1:607 N CENTRAL AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1804
Mailing Address - Country:US
Mailing Address - Phone:818-242-4526
Mailing Address - Fax:818-244-3559
Practice Address - Street 1:607 N CENTRAL AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1804
Practice Address - Country:US
Practice Address - Phone:818-242-4526
Practice Address - Fax:818-244-3559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA257161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty