Individual
DR. BENJAMIN HOWARD GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3744 LAVISTA RD, SUITE B, DECATUR, GA 30033-1006
(404) 634-2205
(404) 982-9210
Mailing address
3744 LAVISTA RD, SUITE B, DECATUR, GA 30033-1006
(404) 634-2205
(404) 982-9210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6532
GA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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