Individual
DR. LESLIE E. GRANT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5800 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2438
(410) 532-1024
(410) 433-0186
Mailing address
5800 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2438
(410) 532-1024
(410) 433-0186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
09503
MD
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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