Individual
DR. MICHAEL RAGAN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 N OAK ST, SENECA, SC 29678-3220
(864) 882-3079
Mailing address
PO BOX 1194, SENECA, SC 29679-1194
(864) 882-3079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC 2177
SC
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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