Sergey Valerieyvich Gritsiv, DMD

NPI #1104893742 in Oakwood, Georgia

Provider Information

NPI Number: 1104893742
Entity Type: Individual
Name: Sergey Valerieyvich Gritsiv, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Mar 2, 2006
Last Updated: Dec 7, 2012

Practice Location

Address: 4038 MUNDY MILL RD
City: Oakwood
State: Georgia
ZIP Code: 30566-2518
Phone: (770) 534-4292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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