Individual
DR. JONELLE SENITA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4837 BENNING RD SE, WASHINGTON, DC 20019-6145
(202) 650-5238
Mailing address
100 I ST SE APT 1117, WASHINGTON, DC 20003-4873
(919) 641-2676
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8228
NC
1223P0221X
Pediatric Dentistry
DEN1000885
DC
Other
Enumeration date
11/08/2006
Last updated
08/09/2012
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