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Individual

DR. LISA HOPE GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS,MS

Contact information

Practice address
1032 STERLING AVE, FLOSSMOOR, IL 60422-1234
(708) 799-3030
(708) 798-9179
Mailing address
1809 REDWOOD LN, MUNSTER, IN 46321-5166
(219) 313-9143
(708) 798-9179

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
IL

Other

Enumeration date
12/14/2006
Last updated
07/08/2007
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