Individual
ADAM MICHAEL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1879 E FIR AVE STE 101, FRESNO, CA 93720-3841
(559) 322-6060
(559) 322-7888
Mailing address
2837 E EMERALD AVE, FRESNO, CA 93720-5426
(559) 322-6060
(559) 322-7888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51585
CA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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