| NPI | 1366166076 |
|---|---|
| Doing Business As | GRANDE ORAL SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | FEDERICO GRANDE Owner 772-510-5900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-01-10 |