Individual
EVELYN DENISE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, MBA
Contact information
Practice address
1222 JPA 2ND FLOOR, CHARLOTTESVILLE, VA 22908-0001
(434) 249-3387
Mailing address
PO BOX 800740, CHARLOTTESVILLE, VA 22908-0740
(434) 982-3597
(434) 243-6378
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402003340
VA
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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