Grigory Rozenovich D.D.S.

NPI 1093891764 - Dentist - 1223G0001X

NPI Details
NPI 1093891764
Gender Male
Enumeration Date 10/27/2006
Last Updated 05/06/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3620 S. BRISTOL ST. SUITE 210
SANTA ANA CA, 92704, US
Phone (714) 549-1409
Fax (714) 549-2118
Business Location
3620 S. BRISTOL ST. SUITE 210
SANTA ANA CA, 92704, US
Phone (714) 549-1409
Fax (714) 549-2118
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number D40115
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According to our database, Grigory Rozenovich D.D.S. NPI is 1093891764, taxonomy code is 1223G0001X and license number is D40115, license state is located at California. Grigory Rozenovich D.D.S. physically located at 3620 S. Bristol St. Suite 210, Santa Ana CA, 92704. NPI Number Grigory Rozenovich D.D.S. has the Individual type.

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1093891764 NPI number is provided on an as is basis without warranty of any kind. 1093891764 is maintained by the National Plan & Provider Enumeration System. The contents of Grigory Rozenovich D.D.S. are for informational purposes only.