Individual
PAUL G. GRUSSENMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
310 KRESSON RD, CHERRY HILL, NJ 08034-3353
(856) 428-1088
Mailing address
310 KRESSON RD, CHERRY HILL, NJ 08034-3353
(856) 428-1088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01175000
NJ
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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