Individual
DR. KELLY GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
80 E JEFFERSON ST STE 400B, FALLS CHURCH, VA 22046-3569
(703) 241-5437
Mailing address
1301 M ST NW APT 520, WASHINGTON, DC 20005-4222
(516) 729-9830
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17330
MD
1223P0221X
Pediatric Dentistry
DEN2000111
DC
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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