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Organization

NATHAN J. GRANILLO, DDS, INC.

Active
Other names
Hemet Valley Orthodontics/Hemet Childrens Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATHAN JOSEPH GRANILLO DDS, MS (OWNER/ORTHODONTIST)
(951) 652-2234
Entity
Organization

Contact information

Practice address
1630 EL NITA LN, HEMET, CA 92544-4657
(951) 652-2234
(951) 652-5894
Mailing address
1630 EL NITA LN, HEMET, CA 92544-4657
(951) 652-2234
(951) 652-5894

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
56331
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
59012
CA

Other

Enumeration date
05/06/2015
Last updated
05/06/2015
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