Organization
GRANGER DENTAL SPA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBBIE GRANGER D.D.S. (DENTIST/ OWNER)
(404) 513-1472
Entity
Organization
Contact information
Practice address
1851 MARKET STREET, SUITE 208, DOUGLASVILLE, GA 30135
(770) 949-5353
Mailing address
2093 OLD GEORGIAN TER NW, ATLANTA, GA 30318-1073
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013635
GA
Other
Enumeration date
01/20/2009
Last updated
07/22/2009
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