Individual
CORNELIA GRANATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2901 WILSHIRE BLVD, #339, SANTA MONICA, CA 90403-4901
(310) 829-9798
Mailing address
2901 WILSHIRE BLVD, #339, SANTA MONICA, CA 90403-4901
(310) 829-9798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31271
CA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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