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Artyom G Grigoryan, DDS
Student in an Organized Health Care Education/Training Program in Mequon, Wisconsin
NPI 1124690441

Artyom G Grigoryan is a Student in an Organized Health Care Education/Training Program based in Mequon, WI. Artyom G Grigoryan practices in Mequon, WI and has the professional credentials of DDS. The NPI Number for Artyom G Grigoryan is 1124690441 and holds a License No. 1002691 (Wisconsin).

The current practice location address for Artyom G Grigoryan is 2505 W Mequon Rd, Mequon, WI and can be reached out via phone at 262-242-1180.

Location: 2505 W Mequon Rd, Mequon, WI, 53092-3166
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124690441
Provider Name
Artyom G Grigoryan
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2505 W Mequon Rd, Mequon, WI, 53092-3166
Phone Number
262-242-1180
Fax Number
Provider Enumeration Date
07/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2505 W Mequon Rd
City
Mequon
State
Wisconsin
Zip
53092-3166
Phone Number
262-242-1180
Fax Number
person
Provider Business Mailing Address Details
Address
2505 W Mequon Rd
City
Mequon
State
Wisconsin
Zip
53092-3166
Phone Number
262-242-1180
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
(Wisconsin)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1002691 (Wisconsin)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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