Individual
DR. ANN Z GRANICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1320 W BLOOMFIELD RD STE B, BLOOMINGTON, IN 47403-2001
(812) 822-1196
Mailing address
1320 W BLOOMFIELD RD STE B, BLOOMINGTON, IN 47403-2001
(812) 822-1196
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011893A
IN
Other
Enumeration date
06/07/2011
Last updated
06/12/2013
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