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Organization
KELLOGG AND GRANT DENTAL CORPORATION
Active
Organization
KELLOGG AND GRANT DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY J KELLOGG DDS (PARTNER)
(559) 322-6060
Entity
Organization
Contact information
Practice address
1879 E FIR AVE STE 101, FRESNO, CA 93720-3861
(559) 322-6060
(559) 322-7888
Mailing address
1879 E FIR AVE STE 101, FRESNO, CA 93720-3861
(559) 322-6060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42167
CA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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