DR. Mark Ernest Granger, D.D.S.

NPI #1164490017 in Lakewood, Colorado

Provider Information

NPI Number: 1164490017
Entity Type: Individual
Name: DR. Mark Ernest Granger, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2525 S WADSWORTH BLVD
Address 2: SUITE #23
City: Lakewood
State: Colorado
ZIP Code: 80227-3273
Phone: (303) 985-0909

Specialties & Taxonomy Codes

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

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