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Organization

GRANGER & SAHASRA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHISH SAHUSRABUDHE DMD (OWNER)
(516) 222-1822
Entity
Organization

Contact information

Practice address
1103 STEWART AVENUE SUITE 104, GARDEN CITY, NY 11530
(516) 222-1822
(516) 227-5361
Mailing address
1103 STEWART AVENUE SUITE 104, GARDEN CITY, NY 11530
(516) 222-1822
(516) 227-5361

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
NY
1223P0300X
Periodontics
NY

Other

Enumeration date
05/29/2018
Last updated
05/29/2018
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