Individual
BORIS GRIGOROVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2345 ERRINGER RD, SUITE 220, SIMI VALLEY, CA 93065-2235
(805) 583-5589
Mailing address
13302 NANTUCKET PL, BAKERSFIELD, CA 93314-6547
(818) 800-4464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49325
CA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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