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Individual

DR. BAO-THY NGOC GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1110 E CHAPMAN AVE, SUITE 100, ORANGE, CA 92866-2139
(714) 771-7677
(714) 771-1518
Mailing address
1110 E CHAPMAN AVE, SUITE 100, ORANGE, CA 92866-2139
(714) 771-7677
(714) 771-1518

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
52655
CA

Other

Enumeration date
03/10/2008
Last updated
03/10/2008
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