Individual
DR. NOANA ISSAR-GRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-3786
Mailing address
3458 NEELY RD, JB MDL, NJ 08641-5312
(609) 754-3786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076123100
—
FL
Enumeration date
03/28/2006
Last updated
05/08/2018
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