Individual
BARBARA R, GROCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
142 MINEOLA BLVD, SUITE 102, MINEOLA, NY 11501-3988
(516) 248-7883
(516) 248-7885
Mailing address
142 MINEOLA BLVD, SUITE 102, MINEOLA, NY 11501-3988
(516) 248-7883
(516) 248-7885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036031
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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