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Organization

GRAND DENTISTRY ARBOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM B GRAND D.D.S. (DR.)
(985) 624-8602
Entity
Organization

Contact information

Practice address
535 N. CAUSEWAY, MANDEVILLE, LA 70448
(985) 778-0096
Mailing address
700 ASBURY DRIVE, MANDEVILLE, LA 70471
(985) 778-0096
(985) 778-0301

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LA

Other

Enumeration date
05/09/2012
Last updated
05/11/2016
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