Individual
DR. JAMES EDWARD GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2837 EARLYSTOWN RD, CENTRE HALL, PA 16828-9108
(814) 364-9000
Mailing address
2837 EARLYSTOWN RD, P.O. BOX 197, CENTRE HALL, PA 16828-9108
(814) 364-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018139L
PA
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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