Individual
DR. SUSAN GRANQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
177 SUNRISE AVE, HONESDALE, PA 18431-1027
(570) 253-0358
Mailing address
177 SUNRISE AVE, HONESDALE, PA 18431-1027
(570) 253-0538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS038265
PA
1223G0001X
General Practice Dentistry
DS038265
PA
Other
Enumeration date
06/22/2010
Last updated
01/24/2025
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