Individual
MICHELLE GRESZES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
441 N MAIN ST, FREEPORT, NY 11520-1229
(516) 379-5500
Mailing address
342 EDWARD AVE, WOODMERE, NY 11598-2825
(917) 399-5096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048811-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02173348
—
NY
Enumeration date
04/13/2007
Last updated
07/08/2007
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