Organization
GRANT DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUTLAND DMD (OWNER)
(256) 582-5920
Entity
Organization
Contact information
Practice address
114 EMMETT AYERS ROAD, GRANT, AL 35747
(256) 728-2231
Mailing address
P.O. BOX 1035, GUNTERSVILLE, AL 35976
(256) 582-5920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4815
AL
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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