Individual
DR. MICHAEL ALLEN GRANET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
57 GREENE ST, CUMBERLAND, MD 21502-2926
(301) 759-1212
(301) 777-1680
Mailing address
57 GREENE ST, CUMBERLAND, MD 21502-2926
(301) 759-1212
(301) 777-1680
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6686
MD
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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