Organization
HARBOR HILL DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ANTHONY GRANDILLO DDS (OWNER)
(631) 686-5042
Entity
Organization
Contact information
Practice address
556-20 NORTH COUNTRY ROAD, ST JAMES, NY 11780
(631) 686-5042
(631) 686-5044
Mailing address
556-20 NORTH COUNTRY ROAD, ST JAMES, NY 11780
(631) 686-5042
(631) 686-5044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048345
NY
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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