ROGER GRANNUM

BROOKLYN, NY
NPI1003993502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NY  50052633)
Enumeration Date2006-11-01
Last Update Date2017-01-06
Business Address
Dr. ROGER GRANNUM DDS
760 BROADWAY ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Phone number: 718-963-8000
Mailing Address
Dr. ROGER GRANNUM DDS
760 BROADWAY ORAL SURGERY ROOM 2C230
BROOKLYN, NY 11206
Phone number: 718-963-8000
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