Organization
JOHNNY GRINSPAN INC
Active
Other names
Texoma Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY ROLANDO GRINSPAN DDS (PRESIDENT)
(903) 465-9500
Entity
Organization
Contact information
Practice address
509 S MIRICK AVE, DENISON, TX 75020-4433
(903) 465-9500
(903) 465-9500
Mailing address
509 S MIRICK AVE, DENISON, TX 75020-4433
(903) 465-9500
(903) 465-9500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20582
TX
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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