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Individual

DR. GRANT G COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD,MS

Contact information

Practice address
7800 PROVIDENCE RD, SUITE 201, CHARLOTTE, NC 28226-2952
(704) 334-7203
(704) 542-8817
Mailing address
7800 PROVIDENCE RD, SUITE 201, CHARLOTTE, NC 28226-2952
(704) 334-7203
(704) 542-8817

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
200001167056
NC

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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