Provider Demographics
NPI:1457509465
Name:GREWAL, MEETA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEETA
Middle Name:
Last Name:GREWAL
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 1:425 WASHINGTON BLVD APT 1513
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-2048
Mailing Address - Country:US
Mailing Address - Phone:703-258-9295
Mailing Address - Fax:
Practice Address - Street 1:425 WASHINGTON BLVD APT 1513
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310-2048
Practice Address - Country:US
Practice Address - Phone:703-258-9295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0541281223P0221X
NJ22DI023854001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry