Individual
DR. JOHN C GRANETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5945 W BETHANY HOME RD, GLENDALE, AZ 85301-5104
(623) 931-3794
(623) 931-2567
Mailing address
5945 W BETHANY HOME RD, GLENDALE, AZ 85301-5104
(623) 931-3794
(623) 931-2567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3883
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130724
AHCCCS
AZ
Enumeration date
11/29/2006
Last updated
07/08/2007
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