Individual
DR. DONNA J GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1101 CHATHAM AVE, NORWALK, IA 50211-9658
(515) 256-9000
(515) 256-9018
Mailing address
12509 FULTON ST, INDIANOLA, IA 50125-8923
(515) 962-0665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7567
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1084327
—
IA
Enumeration date
12/14/2006
Last updated
07/08/2007
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