NPI | 1720197809 |
---|---|
Other Name | BRIAN GRIPPE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: KY 7471) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 7471) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2007-07-27 |