Individual
GULTAJ GREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1724 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2115
(412) 213-1999
(412) 213-6985
Mailing address
926 GREAT POND DR, SUITE 2003, ALTAMONTE SPRINGS, FL 32714-7244
(407) 772-5124
(407) 788-3572
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036180
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011126770001
—
PA
05
—
1011126770002
—
PA
05
—
1011126770003
—
PA
05
—
1011126770004
—
PA
05
—
1011126770005
—
PA
05
—
1011126770007
—
PA
05
—
1011126770008
—
PA
05
—
1011126770009
—
PA
05
—
1011126770010
—
PA
05
—
1011126770011
—
PA
05
—
1011126770012
—
PA
05
—
1011126770013
—
PA
05
—
1011126770014
—
PA
Enumeration date
03/31/2006
Last updated
06/22/2016
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