Individual
DR. MICHAEL GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6901 HELEN OF TROY STE A, EL PASO, TX 79911-3049
(915) 845-7979
Mailing address
1714 GAMBEL QUAIL DR, EL PASO, TX 79936-6354
(915) 261-3698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
33973
TX
1223P0300X
Periodontics
Primary
33973
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2018
Last updated
11/07/2022
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