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Individual
DR. MAYRA KAREN GRANILLO
Active
Individual
DR. MAYRA KAREN GRANILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27952
TX
1223G0001X
General Practice Dentistry
27952
TX
Other
Enumeration date
08/10/2012
Last updated
07/28/2023
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