Individual provider · Type 1 NPI

Larry Grant

General Practice Dentistry · Dalton, GA

NPI number 1184775223 Active

About NPI 1184775223

Larry Grant's National Provider Identifier is 1184775223, issued on Jan 16, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dalton, GA. The record was last updated on Jul 8, 2007.