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Individual

DR. PRIYA BALI GREWAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1900 N BROADWAY STE 102, BALTIMORE, MD 21213-1437
(770) 916-9000
Mailing address
5113 DUNSTER DR, MCKINNEY, TX 75070-8883
(571) 216-6892

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
23631
TX
1223G0001X
General Practice Dentistry
0401411043
VA
1223G0001X
General Practice Dentistry
Primary
14709
MD

Other

Enumeration date
05/15/2007
Last updated
08/26/2010
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