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Individual
DR. PRABHDEEP SINGH GREWAL
Active
Individual
DR. PRABHDEEP SINGH GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
55317
CA
122300000X
Dentist
DE00010400
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401415272
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
55317
CA
Other
Enumeration date
04/27/2006
Last updated
11/17/2022
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