Organization
IRA E GRONOWITZ DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA E GRONOWITZ DDS (PRESIDENT / DENTIST)
(718) 373-5000
Entity
Organization
Contact information
Practice address
8502 BAY PKWY, BROOKLYN, NY 11214-4104
(718) 373-5000
(718) 372-6213
Mailing address
8502 BAY PKWY, BROOKLYN, NY 11214-4104
(718) 373-5000
(718) 372-6213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
027244
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02151504
—
NY
Enumeration date
01/13/2006
Last updated
08/22/2020
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