Individual
MR. PATRICK C. GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
2902 S 74TH ST, TACOMA, WA 98409-5911
(253) 471-9999
(253) 474-2337
Mailing address
2902 S 74TH ST, TACOMA, WA 98409-5911
(253) 471-9999
(253) 474-2337
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN00000196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5025085
—
WA
Enumeration date
02/17/2010
Last updated
02/18/2010
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