| Paul G. Grandsire, Dmd, Pllc | |
|
1415 Boston Post Rd Larchmont NY 10538-3935 | |
| (914) 834-1646 | |
| (914) 833-8335 |
| Full Name | Paul G. Grandsire, Dmd, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1415 Boston Post Rd, Larchmont, New York |
| Authorized Official Name and Position | Paul Grandsire (OWNER) |
| Authorized Official Contact | 9148341646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul G. Grandsire, Dmd, Pllc 26 Lakeview Avenue Hartsdale NY 10530-2516 Ph: () - | Paul G. Grandsire, Dmd, Pllc 1415 Boston Post Rd Larchmont NY 10538-3935 Ph: (914) 834-1646 |
| NPI Number | 1285923599 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285923599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 036185 (New York) | Primary |
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