Organization · NPI-2

Andre Grenier Dmd, PLLC

Dentist, Periodontics · Plantation, FL

NPI number1336698026
StatusActive
Last updated in NPPESSep 23, 2016

Details

NPI
1336698026
Entity type
Organization (NPI-2)
Legal business name
Andre Grenier Dmd, PLLC
Organization subpart
No
Enumeration date
Sep 23, 2016
Last updated
Sep 23, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, PeriodonticsDN16730FLYes

Practice location

8200 W Sunrise Blvd
Suite B1
Plantation, FL 33322-5426

Phone 954-473-1806 · Fax 954-424-6666

Mailing address

8200 W Sunrise Blvd
Suite B1
Plantation, FL 33322-5426

Phone 954-473-1806 · Fax 954-424-6666

Authorized official

Andre Grenier
Doctor/Owner
9544731806

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