| NPI | 1700546389 |
|---|---|
| Doing Business As | GRENNTREE PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | DAVID R SILVER Partner 609-923-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |