GRIGORIY YUSUPOV

ELIZABETH, NJ
NPI1023279254
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NJ  220102207500)
Enumeration Date2008-06-20
Last Update Date2012-05-01
Business Address
Dr. GRIGORIY YUSUPOV DDS
65 JEFFERSON AVENUE
ELIZABETH, NJ 07201
Phone number: 908-527-8688
Mailing Address
Dr. GRIGORIY YUSUPOV DDS
65 JEFFERSON AVENUE
ELIZABETH, NJ 07201
Phone number: 908-527-8688
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