| Granato & Crandall DDS PC | |
|
8719 Stonewall Road Manassas VA 20110 | |
| (703) 368-1000 | |
| (703) 331-4944 |
| Full Name | Granato & Crandall DDS PC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8719 Stonewall Road, Manassas, Virginia |
| Authorized Official Name and Position | Dawn a Crandall (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7033681000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granato & Crandall DDS PC 8719 Stonewall Road Manassas VA 20110 Ph: (703) 368-1000 | Granato & Crandall DDS PC 8719 Stonewall Road Manassas VA 20110 Ph: (703) 368-1000 |
| NPI Number | 1639133291 |
|---|---|
| Provider Enumeration Date | 04/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639133291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7179 (Virginia) | Primary |
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