Individual
MELISSA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
103626
CA
1223P0221X
Pediatric Dentistry
Primary
DDS103626
CA
Other
Enumeration date
04/06/2017
Last updated
08/19/2024
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