Organization
RICHARD GRANT DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD GRANT DDS, MS (ORTHODONTIST)
(619) 267-8905
Entity
Organization
Contact information
Practice address
2240 E PLAZA BLVD, M, NATIONAL CITY, CA 91950-5164
(619) 267-8905
Mailing address
2240 E PLAZA BLVD, M, NATIONAL CITY, CA 91950-5164
(619) 267-8905
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
51412
CA
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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