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Organization

MARK C. GRANT, PLLC

Active
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Organization

MARK C. GRANT, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA LANFER (OFFICE MANAGER)
(713) 433-4344
Entity
Organization

Contact information

Practice address
4613 W OREM DR, HOUSTON, TX 77045-4107
(713) 433-4344
(713) 433-1814
Mailing address
4613 W OREM DR, HOUSTON, TX 77045-4107
(713) 433-4344
(713) 433-1814

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0025191
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209997001
TX
Enumeration date
06/23/2014
Last updated
06/23/2014
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