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Organization
VICTORIA GRANNAN D.D.S. LTD
Active
Organization
VICTORIA GRANNAN D.D.S. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA GRANNAN (DENTIST)
(630) 834-4116
Entity
Organization
Contact information
Practice address
340 W BUTTERFIELD RD STE 1D, ELMHURST, IL 60126-5047
(630) 834-4116
Mailing address
340 W BUTTERFIELD RD STE 1D, ELMHURST, IL 60126-5047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.023318
IL
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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