DR. Lori Stephanie Gruskin, DMD

NPI #1487263067 in Bradenton, Florida

Provider Information

NPI Number: 1487263067
Entity Type: Individual
Name: DR. Lori Stephanie Gruskin, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 29, 2020
Last Updated: Jul 29, 2020

Practice Location

Address: 1602 CORTEZ RD W
City: Bradenton
State: Florida
ZIP Code: 34207-1440
Phone: (941) 708-6504

Specialties & Taxonomy Codes

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

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