DR. Domenic John Grand, DDS

NPI #1710218961 in Hamburg, New Jersey

Provider Information

NPI Number: 1710218961
Entity Type: Individual
Name: DR. Domenic John Grand, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 27, 2010
Last Updated: Jan 27, 2010

Practice Location

Address: 31 ROUTE #23
City: Hamburg
State: New Jersey
ZIP Code: 07419
Phone: (973) 827-3756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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