Individual
DR. JAMES A GRANADE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
4879 LAVISTA RD, SUITE 100, TUCKER, GA 30084-8517
(770) 491-3888
Mailing address
4879 LAVISTA RD, SUITE 100, TUCKER, GA 30084-8517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011412
GA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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