Individual
DR. GRIGORIY EFROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., MS
Contact information
Practice address
20 FAIRFIELD AVE, RANDOLPH, NJ 07869-1420
(973) 945-8178
Mailing address
20 FAIRFIELD AVE, RANDOLPH, NJ 07869-1420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02578500
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
058564-1
NY
Other
Enumeration date
04/07/2015
Last updated
11/13/2016
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