| NPI | 1275884991 |
|---|---|
| Doing Business As | GRAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | IFFAT NAZNEEN Dentist/Owner 203-691-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2013-10-16 |