Individual
DR. CHRISTINE ISOLDE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1402 W SWANN AVE, TAMPA, FL 33606-2533
(813) 251-1548
(813) 251-1077
Mailing address
1402 W SWANN AVE, TAMPA, FL 33606-2533
(813) 251-1548
(813) 251-1077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13279
FL
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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