Organization
BAO-THY N. GRANT, D.D.S.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAO-THY N GRANT D.D.S.,INC. (OFFICER)
(310) 408-8221
Entity
Organization
Contact information
Practice address
1110 E CHAPMAN AVE, SUITE 100, ORANGE, CA 92866-2139
(714) 771-7677
(714) 771-1518
Mailing address
1110 E CHAPMAN AVE, SUITE 100, ORANGE, CA 92866-2139
(714) 771-7677
(714) 771-1518
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
52655
CA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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