Organization
GRANDI DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STAS GRANDI DMD, MSD (PRESIDENT)
(720) 496-3397
Entity
Organization
Contact information
Practice address
800 MORNING STAR DR STE A, SONORA, CA 95370-9260
(209) 532-5788
Mailing address
800 MORNING STAR DR STE A, SONORA, CA 95370-9260
(209) 532-5788
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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