Individual
DR. GERALD THOMAS GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0001
(301) 295-5828
(301) 295-5767
Mailing address
700 SARASOTA ARCH, CHESAPEAKE, VA 23322-6852
(757) 546-0821
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5974
KY
Other
Enumeration date
08/02/2005
Last updated
03/10/2017
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