Individual
DR. GRANT CARLOS MCSURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2107B COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 235-4060
Mailing address
430 W ERIE ST STE 200, CHICAGO, IL 60654-6920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039018
PA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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