Individual
JOHNNY ROLANDO GRINSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
509 S MIRICK AVE, DENISON, TX 75020-4433
(903) 465-9500
(903) 465-9500
Mailing address
509 S MIRICK AVE, DENISON, TX 75020-4433
(903) 465-9500
(903) 465-9500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20582
TX
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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