Organization
BELINDA S. GRANADA DDS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINDA S GRANADA DDS (CEO)
(562) 804-7777
Entity
Organization
Contact information
Practice address
14369 CLARK AVE, BELLFLOWER, CA 90706-2901
(562) 804-7777
Mailing address
14369 CLARK AVE, BELLFLOWER, CA 90706-2901
(562) 804-7777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
40010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164514634
MEDICAL
CA
Enumeration date
07/20/2014
Last updated
08/17/2020
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