GABRIEL GRISHAM
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1720570393- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 43 SMITH RD, NEWPORT, RI, 028411006
- Phone
- (301) 875-4494
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
License: VA #0401416112
Dentist, Oral and Maxillofacial Surgery
Primary License: RI #DEN03731
All Addresses
MAILING
PSC 475 BOX 1935
FPO, AP, 963509998