| Grant P.C. | |
|
10960 Jefferson Blvd Culver City CA 90230-4931 | |
| (510) 982-6179 | |
| Not Available |
| Full Name | Grant P.C. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10960 Jefferson Blvd, Culver City, California |
| Authorized Official Name and Position | Sederic Grant (OWNER) |
| Authorized Official Contact | 5109826179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant P.C. 10960 Jefferson Blvd Culver City CA 90230-4931 | Grant P.C. 10960 Jefferson Blvd Culver City CA 90230-4931 Ph: (510) 982-6179 |
| NPI Number | 1366355471 |
|---|---|
| Provider Enumeration Date | 09/28/2026 |
| Last Update Date | 09/28/2026 |
| Certification Date | 09/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366355471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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