Organization
NIGEL D. GRANDISON, DMD
Active
Other names
Kids Care Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NIGEL D. GRANDISON DMD (OWNER/PROVIDER)
(954) 432-1607
Entity
Organization
Contact information
Practice address
10117 CLEARY BLVD, PLANTATION, FL 33324-1066
(954) 916-9060
(954) 916-9063
Mailing address
10117 CLEARY BLVD, PLANTATION, FL 33324-1066
(954) 916-9060
(954) 916-9063
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14446
FL
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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