Individual
DR. MICHAEL M GRANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4139 N HOLLAND SYLVANIA RD, SUITE 2, TOLEDO, OH 43623-2503
(419) 885-2444
(419) 885-2444
Mailing address
4139 N HOLLAND SYLVANIA RD, SUITE 2, TOLEDO, OH 43623-2503
(419) 885-2444
(419) 885-2444
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
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