| S Gritsiv Dmd Pc | |
|
4328 Mundy Mill Rd Oakwood GA 30566-2518 | |
| (770) 534-4292 | |
| Not Available |
| Full Name | S Gritsiv Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4328 Mundy Mill Rd, Oakwood, Georgia |
| Authorized Official Name and Position | Sergey Gritsiv (PRESIDENT) |
| Authorized Official Contact | 7705344292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Gritsiv Dmd Pc Po Box 329 Oakwood GA 30566-0006 Ph: (770) 534-4292 | S Gritsiv Dmd Pc 4328 Mundy Mill Rd Oakwood GA 30566-2518 Ph: (770) 534-4292 |
| NPI Number | 1699889857 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699889857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013149 (Georgia) | Primary |
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