DR. Jeffrey Paul Gressard SR., D.D.S.

NPI #1184756405 in Millbrae, California

Provider Information

NPI Number: 1184756405
Entity Type: Individual
Name: DR. Jeffrey Paul Gressard SR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1496 BROADWAY
City: Millbrae
State: California
ZIP Code: 94030-1259
Phone: (650) 583-7191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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