Jerald Allen Grotstein DMD

NPI 1073599304 - Dentist - 1223G0001X

NPI Details
NPI 1073599304
Gender Male
Enumeration Date 12/19/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100 RIDGE VIEW DR
SUITE 103
CARY NC, 27511-5589, US
Phone (919) 467-2203
Fax
Business Location
100 RIDGE VIEW DR
SUITE 103
CARY NC, 27511-5589, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State North Carolina
License Number 4139
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According to our database, Dr. Jerald Allen Grotstein DMD NPI is 1073599304, taxonomy code is 1223G0001X and license number is 4139, license state is located at North Carolina. Jerald Allen Grotstein DMD physically located at 100 Ridge View Dr, Cary NC, 27511-5589. NPI Number Jerald Allen Grotstein DMD has the Individual type.

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1073599304 NPI number is provided on an as is basis without warranty of any kind. 1073599304 is maintained by the National Plan & Provider Enumeration System. The contents of Jerald Allen Grotstein DMD are for informational purposes only.