Individual
DR. NATHAN JOSEPH GRANILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., MSD
Contact information
Practice address
1630 EL NITA LN, HEMET, CA 92544-4657
(951) 652-2234
(951) 652-5894
Mailing address
389 CYNTHIA CRES, REDLANDS, CA 92373-6836
(951) 965-0841
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
59012
CA
Other
Enumeration date
04/30/2011
Last updated
02/12/2014
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