| Dr. Mary Grigoratos, Orthodontist P.c. | |
|
2620 Bell Blvd Bayside NY 11360-2539 | |
| (347) 235-4605 | |
| (718) 545-4740 |
| Full Name | Dr. Mary Grigoratos, Orthodontist P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2620 Bell Blvd, Bayside, New York |
| Authorized Official Name and Position | Mary Grigoratos (PRESIDENT) |
| Authorized Official Contact | 3472354605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mary Grigoratos, Orthodontist P.c. 2620 Bell Blvd Bayside NY 11360-2539 Ph: (347) 235-4605 | Dr. Mary Grigoratos, Orthodontist P.c. 2620 Bell Blvd Bayside NY 11360-2539 Ph: (347) 235-4605 |
| NPI Number | 1497997985 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497997985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 046147 (New York) | Primary |
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