Organization
JAMES EDWARD GRANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD GRANT DMD (DENTIST)
(814) 364-9000
Entity
Organization
Contact information
Practice address
2837 EARLYSTOWN ROAD, CENTRE HALL, PA 16828
(814) 364-9000
(814) 364-9626
Mailing address
2837 EARLYSTOWN ROAD, P.O. BOX 197, CENTRE HALL, PA 16828
(814) 364-9000
(814) 364-9626
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018139L
PA
Other
Enumeration date
11/13/2006
Last updated
02/08/2013
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