Organization
CRANIO MANDIBULAR AFFILIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT E GILES DDS (OWNER)
(432) 522-3546
Entity
Organization
Contact information
Practice address
4214 ANDREWS HWY, STE-307, MIDLAND, TX 79703-4822
(432) 522-3546
(432) 522-1882
Mailing address
4214 ANDREWS HWY, STE-307, MIDLAND, TX 79703-4822
(432) 522-3546
(432) 522-1882
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083621692
NONE
—
Enumeration date
02/03/2009
Last updated
02/03/2009
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