DR. Grigoriy Yusupov, DDS

NPI #1023279254 in Elizabeth, New Jersey

Provider Information

NPI Number
1023279254
Entity Type
Individual
Name
DR. Grigoriy Yusupov, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 20, 2008
Last Updated
May 1, 2012

Practice Location

Address
65 JEFFERSON AVENUE
ZIP Code
07201
Phone
(908) 527-8688

Specialties & Taxonomy Codes

Specialty
Dentist

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