| Eric J Grin Dds Ms A Prof Corp | |
|
3475 Torrance Blvd Ste H Torrance CA 90503-5800 | |
| (310) 933-3077 | |
| Not Available |
| Full Name | Eric J Grin Dds Ms A Prof Corp |
|---|---|
| Speciality | Dentist |
| Location | 3475 Torrance Blvd Ste H, Torrance, California |
| Authorized Official Name and Position | Eric Jonathan Grin (OWNER) |
| Authorized Official Contact | 8186674885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric J Grin Dds Ms A Prof Corp 3475 Torrance Blvd Ste H Torrance CA 90503-5800 Ph: (310) 933-3077 | Eric J Grin Dds Ms A Prof Corp 3475 Torrance Blvd Ste H Torrance CA 90503-5800 Ph: (310) 933-3077 |
| NPI Number | 1467023598 |
|---|---|
| Provider Enumeration Date | 07/09/2021 |
| Last Update Date | 02/24/2025 |
| Medicare PECOS PAC ID | 8022538677 |
|---|---|
| Medicare Enrollment ID | O20250226000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467023598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Primary |
| Provider Name | Eric Jonathan Grin |
|---|---|
| Provider Type | Practitioner - Orofacial Pain |
| Provider Identifiers | NPI Number: 1629622014 PECOS PAC ID: 0547780108 Enrollment ID: I20250226001619 |
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