Individual
DR. MICHAEL M GRANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17348
OH
122300000X
Dentist
2901013973
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0644360
—
OH
01
—
562159
UNITED CONCORDIA
—
Enumeration date
09/13/2006
Last updated
07/08/2007
Update your record
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