Individual
MISS JENIFER ANDREA GRISALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
488 ESSEX ST, LAWRENCE, MA 01840-1242
(978) 975-8888
Mailing address
21 ADAMS ST APT 204, MALDEN, MA 02148-6453
(786) 915-9872
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10000880
MA
Other
Enumeration date
03/18/2024
Last updated
08/06/2025
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