DR. Jennifer Erin Grant, DDS

NPI #1073529962 in Waco, Texas

Provider Information

NPI Number: 1073529962
Entity Type: Individual
Name: DR. Jennifer Erin Grant, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1601 LAKE SUCCESS DR
City: Waco
State: Texas
ZIP Code: 76710-2908
Phone: (254) 235-4986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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