Organization
STATEN ISLAND PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH ANNE GRIES D.M.D. (PRESIDENT)
(718) 761-7316
Entity
Organization
Contact information
Practice address
195 BRIDGETOWN ST, STATEN ISLAND, NY 10314-6006
(718) 761-7316
(718) 761-0558
Mailing address
195 BRIDGETOWN ST, STATEN ISLAND, NY 10314-6006
(718) 761-7316
(718) 761-0558
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0425291
NY
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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