THOMAS GRANDVILLE

PORT JEFFERSON STATION, NY
NPI1487949236
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: NY  056816)
Enumeration Date2011-06-09
Last Update Date2017-04-19
Business Address
Dr. THOMAS GRANDVILLE D.D.S.
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776-1601
Phone number: 631-928-8585
Mailing Address
Dr. THOMAS GRANDVILLE D.D.S.
8 MEDICAL DR
PORT JEFFERSON STATION, NY 11776-1601
Phone number: 631-928-8585
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