Organization · Type 2 NPI

Granger Dental Spa, PC

General Practice Dentistry · Douglasville, GA

NPI number 1861639304 Active

About NPI 1861639304

Granger Dental Spa, PC's National Provider Identifier is 1861639304, issued on Jan 20, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Douglasville, GA. The record was last updated on Jul 22, 2009.