Individual
JORGE MIGUEL CERVANTES GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
145 VERMILYEA AVE, SUITE #27, NEW YORK, NY 10034
(212) 567-1729
(212) 567-0909
Mailing address
145 VERMILYEA AVE, SUITE #27, NEW YORK, NY 10034
(212) 567-1729
(212) 567-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
036615
NY
1223P0700X
Prosthodontics
Primary
—
NJ
Other
Enumeration date
05/21/2007
Last updated
09/11/2025
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