Individual
DR. GEORGE M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PHD
Contact information
Practice address
310 STAGECOACH TRL, SUITE 600, SAN MARCOS, TX 78666-5134
(512) 396-4689
Mailing address
711 W 38TH ST, SUITE A-1, AUSTIN, TX 78705-1121
(512) 454-1220
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12838
TX
Other
Enumeration date
02/09/2006
Last updated
03/16/2010
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