| Grand Dental, Pc | |
|
106 Grand Ave 3rd Floor Englewood NJ 07631-3574 | |
| (201) 816-8696 | |
| (201) 816-9552 |
| Full Name | Grand Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 106 Grand Ave, Englewood, New Jersey |
| Authorized Official Name and Position | Gustavo A Garces (OWNER) |
| Authorized Official Contact | 2018168696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Dental, Pc 106 Grand Ave 3rd Floor Englewood NJ 07631-3574 Ph: (201) 816-8696 | Grand Dental, Pc 106 Grand Ave 3rd Floor Englewood NJ 07631-3574 Ph: (201) 816-8696 |
| NPI Number | 1821159302 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821159302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI021495 (New Jersey) | Primary |
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