| Bach Grazina East End Orthodontics | |
|
235 Osborn Ave Riverhead NY 11901-3077 | |
| (631) 727-2655 | |
| Not Available |
| Full Name | Bach Grazina East End Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 235 Osborn Ave, Riverhead, New York |
| Authorized Official Name and Position | Victor J.r. Grazina (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 6316042206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bach Grazina East End Orthodontics 235 Osborn Ave Riverhead NY 11901-3077 Ph: (631) 727-2655 | Bach Grazina East End Orthodontics 235 Osborn Ave Riverhead NY 11901-3077 Ph: (631) 727-2655 |
| NPI Number | 1992116990 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992116990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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