Organization
GRANTING GRINS, LLC
Active
Other names
Brandywine Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE NICHOLE GRANT DDS (DENTIST)
(202) 285-6601
Entity
Organization
Contact information
Practice address
15908 CRAIN HWY UNIT D, BRANDYWINE, MD 20613-8032
(202) 285-6601
Mailing address
12205 AUTHUR CT, BRANDYWINE, MD 20613-5757
(240) 351-0279
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16122
DENTAL LICENSE NUMBER
MD
Enumeration date
05/07/2024
Last updated
05/07/2024
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