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Individual

JAMES GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12395 EL CAMINO REAL STE 218, SAN DIEGO, CA 92130-3084
(858) 755-1515
Mailing address
3791 OVERPARK RD, SAN DIEGO, CA 92130-1830

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
106040
CA

Other

Enumeration date
01/23/2023
Last updated
01/23/2023
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