Organization · Type 2 NPI
Grand Dental PA
Dental Clinic/Center · Dallas, TX
NPI number
1184933400
Active
Practice location
5437 E Grand Ave
Dallas, TX 75223-1914
Mailing address
850 Dalmalley Ln
Coppell, TX 75019-7931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1184933400
Grand Dental PA's National Provider Identifier is 1184933400, issued on Oct 5, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dallas, TX. The record was last updated on Oct 5, 2010.