Individual
JOHN K GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
160 E WALNUT ST, ROCKFORD, OH 45882-0314
(419) 363-3537
(419) 363-3636
Mailing address
160 E WALNUT ST, ROCKFORD, OH 45882-0314
(419) 363-3537
(419) 363-3636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326132
—
OH
Enumeration date
10/12/2006
Last updated
07/08/2007
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