Individual
GRANIT MORINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
255 W MAIN ST, AVON, MA 02322-1330
(508) 583-2761
Mailing address
200 QUARRY HILLS DR APT 1512, QUINCY, MA 02169-3855
(857) 200-8323
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1858521
MA
Other
Enumeration date
10/11/2019
Last updated
09/01/2023
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