Individual
MR. GRIGORIY A SVERDLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0475671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01823312
—
NY
01
—
9176433
DORAL
—
Enumeration date
12/02/2005
Last updated
08/03/2017
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