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Organization

S GRITSIV DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SERGEY GRITSIV DMD (PRESIDENT)
(770) 534-4292
Entity
Organization

Contact information

Practice address
4328 MUNDY MILL RD, OAKWOOD, GA 30566-2518
(770) 534-4292
Mailing address
PO BOX 329, OAKWOOD, GA 30566-0006
(770) 534-4292

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013149
GA

Other

Enumeration date
08/17/2006
Last updated
08/22/2020
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