Individual
DR. ALEXSANDR GRIGORYAN SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
187 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4838
(718) 497-4080
Mailing address
187 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044971
NY
Other
Enumeration date
10/22/2005
Last updated
07/08/2007
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