Individual
DR. JASJOT KAUR GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
240 W 116TH ST, NEW YORK, NY 10026-2431
(646) 693-0625
Mailing address
4100 NUTCRACKER TRL, LIVERPOOL, NY 13090-1129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062582
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2021
Last updated
11/10/2022
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