Organization
GRAND FAMILY DENTISTRY. COM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM B GRAND D.D.S. (MBR)
(225) 372-7699
Entity
Organization
Contact information
Practice address
12117 COURSEY BLVD, BATON ROUGE, LA 70816-4410
(225) 292-0016
(225) 292-7200
Mailing address
700 ASBURY DR, MANDEVILLE, LA 70471-1844
(225) 372-7699
(225) 292-7200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5106
LA
Other
Enumeration date
06/17/2010
Last updated
10/17/2016
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