Individual
MICHAEL W GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
745 BRADLEY DR, FAYETTEVILLE, GA 30214-2030
(770) 461-4142
(770) 719-8862
Mailing address
745 BRADLEY DR, FAYETTEVILLE, GA 30214-2030
(770) 461-4142
(770) 719-8862
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011413
GA
Other
Enumeration date
12/08/2006
Last updated
07/09/2012
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