Individual
DR. JEROME GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8719 STONEWALL RD, MANASSAS, VA 20110-4534
(703) 368-1000
(703) 331-4944
Mailing address
8719 STONEWALL RD, MANASSAS, VA 20110-4534
(703) 368-1000
(703) 331-4944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7263
VA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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