Individual
DR. RICK L GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
395 W MINOR ST, WINNEMUCCA, NV 89445-3863
(775) 623-1228
(775) 623-0774
Mailing address
PO BOX 417, WINNEMUCCA, NV 89446-0417
(775) 623-1228
(775) 623-0979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2857
NV
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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