Individual
DR. NICHOLAS GRUDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7213 DYKE RD, ALGONAC, MI 48001
(586) 716-4890
(586) 716-4892
Mailing address
7213 DYKE RD, ALGONAC, MI 48001
(586) 716-4890
(586) 716-4892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018006
MI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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