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Dr. Michael M Gridley, DDS

Dentist in Liverpool, NY. Individual provider (NPI-1).

NPI number1346356516
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1346356516
Entity type
Individual (NPI-1)
Name
Dr. Michael M Gridley
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 21, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist24931NYYes

Practice location

725 Oswego St
Liverpool, NY 13088

Phone 315-457-4262 · Fax 315-457-4262

Mailing address

725 Oswego St
Liverpool, NY 13088

Phone 315-457-4262 · Fax 315-457-4262

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