Provider Demographics
NPI:1326113754
Name:DUMITRU, GREGORY DANIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:DANIEL
Last Name:DUMITRU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 W PIONEER BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-8820
Mailing Address - Country:US
Mailing Address - Phone:702-346-3880
Mailing Address - Fax:702-346-6290
Practice Address - Street 1:760 W PIONEER BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-8820
Practice Address - Country:US
Practice Address - Phone:702-346-3880
Practice Address - Fax:702-346-6290
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV33501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice