| Granger Dental Spa, Pc | |
|
1851 Market Street Suite 208 Douglasville GA 30135 | |
| (770) 949-5353 | |
| Not Available |
| Full Name | Granger Dental Spa, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1851 Market Street, Douglasville, Georgia |
| Authorized Official Name and Position | Debbie Granger (DENTIST/ OWNER) |
| Authorized Official Contact | 4045131472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granger Dental Spa, Pc 2093 Old Georgian Ter Nw Atlanta GA 30318-1073 Ph: () - | Granger Dental Spa, Pc 1851 Market Street Suite 208 Douglasville GA 30135 Ph: (770) 949-5353 |
| NPI Number | 1861639304 |
|---|---|
| Provider Enumeration Date | 01/20/2009 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861639304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013635 (Georgia) | Primary |
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