Organization
GRANATO & CRANDALL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN A CRANDALL DDS (PEDIATRIC DENTIST)
(703) 368-1000
Entity
Organization
Contact information
Practice address
8719 STONEWALL ROAD, MANASSAS, VA 20110
(703) 368-1000
(703) 331-4944
Mailing address
8719 STONEWALL ROAD, MANASSAS, VA 20110
(703) 368-1000
(703) 331-4944
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7179
VA
Other
Enumeration date
04/12/2006
Last updated
08/22/2020
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