Individual
DR. BEVERLY GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
90 WALNUT RD, GLEN COVE, NY 11542-2616
(516) 676-4610
(516) 676-5253
Mailing address
90 WALNUT RD, GLEN COVE, NY 11542-2616
(516) 676-4610
(516) 676-5253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
035532
NY
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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