Individual
DR. GRANT K NAKASHIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 SAN GABRIEL VILLAGE BLVD, GEORGETOWN, TX 78626-5594
(512) 868-2233
(512) 868-2210
Mailing address
701 SAN GABRIEL VILLAGE BLVD, GEORGETOWN, TX 78626-5594
(512) 868-2233
(512) 868-2210
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20441
TX
Other
Enumeration date
09/06/2006
Last updated
07/09/2007
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