Individual
DR. JEFFREY JOEL GRANT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2202 GRAND CONCOURSE, BRONX, NY 10457-2000
(718) 365-6389
(718) 365-6931
Mailing address
2202 GRAND CONCOURSE, BRONX, NY 10457-2000
(718) 365-6389
(718) 365-6931
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J0288064
—
NY
Enumeration date
11/04/2005
Last updated
07/08/2007
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