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1205036290
ELLIOT GROTELL
NEW YORK, NY
NPI
1205036290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NY 024476)
Enumeration Date
2007-07-19
Last Update Date
2008-08-25
Business Address
-- ELLIOT GROTELL
21518 HILLSIDE AVE QUEENS VILLAGE
NEW YORK, NY 11427
Phone number: 718-740-3951
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Mailing Address
-- ELLIOT GROTELL
16510 JAMAICA AVE
QUEENS, NY 11432
Phone number: 718-206-4088
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