Individual
DR. JORDAN KENNETH GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5000 CHICHESTER AVE, ASTON, PA 19014-2333
(610) 485-1991
(610) 494-6233
Mailing address
661 CHRISTOPHER LN, ASTON, PA 19014-1476
(215) 882-3448
(610) 494-6233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035128
PA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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