Individual
MR. WILLIAM B GRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2083 3RD ST, MANDEVILLE, LA 70471-6426
(985) 624-8602
(985) 624-8881
Mailing address
2083 3RD ST, MANDEVILLE, LA 70471-6426
(985) 624-8602
(985) 624-8881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5106
LA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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