GRIGORIY YUSUPOV, DDS

DDS

Dentist

NPI: 1023279254IndividualAccepts Medicare

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

220102207500(NJ)

CMS Specialties

PrimaryDENTIST

Education

NEW YORK UNIVERSITY COLLEGE OF DENTISTRY

Class of 1997

Contact & Hours

Address: 65 JEFFERSON AVENUE
ELIZABETH, NJ 07201
Phone: (908) 527-8688

Quick Facts

NPI: 1023279254
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 29

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