Organization
LITTLE GRINS PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIEL GRINBAUM DMD (OWNER)
(516) 680-6915
Entity
Organization
Contact information
Practice address
160 E 88TH ST APT 1D, NEW YORK, NY 10128-2217
(917) 979-6579
Mailing address
160 E 88TH ST APT 1D, NEW YORK, NY 10128-2217
(917) 979-6579
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186-175-1224
NPI
NY
Enumeration date
11/14/2021
Last updated
11/14/2021
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