Individual
MELISSA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1642 8TH ST, MANHATTAN BEACH, CA 90266-6300
(310) 318-3240
Mailing address
3500 N SEPULVEDA BLVD STE 200, MANHATTAN BEACH, CA 90266-3638
(323) 841-2491
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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