Organization
PAUL G. GRANDSIRE, DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GRANDSIRE DMD (OWNER)
(914) 834-1646
Entity
Organization
Contact information
Practice address
1415 BOSTON POST RD, LARCHMONT, NY 10538-3935
(914) 834-1646
(914) 833-8335
Mailing address
26 LAKEVIEW AVENUE, HARTSDALE, NY 10530-2516
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
036185
NY
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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