Organization
GRASSI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GRASSI DDS (OWNER)
(315) 729-6206
Entity
Organization
Contact information
Practice address
6789 E GENESEE ST # 1B, FAYETTEVILLE, NY 13066-1640
(315) 729-6206
Mailing address
1103 SIDNEY ST, SYRACUSE, NY 13219-1719
(315) 729-6206
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/30/2024
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