Individual
SEDERIC GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
18580 VIA PRINCESSA STE 3, SANTA CLARITA, CA 91387-8329
(661) 388-0499
Mailing address
18580 VIA PRINCESSA STE 3, SANTA CLARITA, CA 91387-8329
(661) 388-0499
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS107635
CA
1223P0221X
Pediatric Dentistry
R783
MN
Other
Enumeration date
07/21/2020
Last updated
02/21/2023
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