Individual
DR. GRANT PATRICK CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 W DOUGLAS RD, MISHAWAKA, IN 46545-1438
(574) 277-2220
(574) 277-2220
Mailing address
605 W DOUGLAS RD, MISHAWAKA, IN 46545-1438
(574) 277-2220
(574) 277-2220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010983A
IN
Other
Enumeration date
08/15/2007
Last updated
06/21/2011
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