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Individual

DR. DEBBIE GRANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2480 WINDY HILL RD SE, MARIETTA, GA 30067-8644
(470) 600-5974
Mailing address
2480 WINDY HILL RD SE STE 202, MARIETTA, GA 30067-8656
(470) 600-5974

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5902 C1
AL
1223G0001X
General Practice Dentistry
Primary
DN013635
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
318303011H
GA
Enumeration date
09/12/2007
Last updated
09/26/2021
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