Individual
DR. CRAIG A GRANDGENETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2208 PHILADELPHIA ST, AMES, IA 50010-8700
(515) 956-3426
(515) 956-3424
Mailing address
2208 PHILADELPHIA ST, AMES, IA 50010-8700
(515) 956-3426
(515) 956-3424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
07931
IA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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