Organization
DR. MARY GRIGORATOS, ORTHODONTIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY GRIGORATOS D.D.S. (PRESIDENT)
(347) 235-4605
Entity
Organization
Contact information
Practice address
2620 BELL BLVD, BAYSIDE, NY 11360-2539
(347) 235-4605
(718) 545-4740
Mailing address
2620 BELL BLVD, BAYSIDE, NY 11360-2539
(347) 235-4605
(718) 545-4740
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
046147
NY
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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