MR. Edgardo Grande, DDS

NPI #1477674216 in Freeport, New York

Provider Information

NPI Number: 1477674216
Entity Type: Individual
Name: MR. Edgardo Grande, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 72 GUY LOMBARDO AVENUE
City: Freeport
State: New York
ZIP Code: 11520-3742
Phone: (516) 546-4301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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