Individual
DR. JOAN CARLA GRCEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
155 MAIN ST, BREWSTER, NY 10509-1521
(845) 279-6999
Mailing address
165 MAIN ST, OSSINING, NY 10562-4702
(914) 941-1263
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042914
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872435
—
NY
Enumeration date
11/07/2005
Last updated
02/09/2016
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