Individual provider · Type 1 NPI

Nathan Joseph Granillo, DDS, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Hemet, CA

NPI number 1801187430 Active

Practice location

1630 El Nita Ln
Hemet, CA 92544-4657

Fax (951) 652-5894

Mailing address

389 Cynthia Cres
Redlands, CA 92373-6836

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X59012 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1801187430

Nathan Joseph Granillo, DDS, MSD's National Provider Identifier is 1801187430, issued on Apr 30, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Hemet, CA. The record was last updated on Feb 12, 2014.