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Individual

ASTA ELENA GRINIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
8351 BLIND PASS RD, ST PETE BEACH, FL 33706
(727) 363-6169
(727) 363-6997
Mailing address
8351 BLIND PASS RD, ST PETE BEACH, FL 33706
(727) 363-6169
(727) 363-6997

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9616
FL

Other

Enumeration date
03/05/2008
Last updated
03/05/2008
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