Lisa Grant Orthodontics

NPI #1225472749 in Homewood, Illinois

Provider Information

NPI Number: 1225472749
Entity Type: Organization
Organization Name: Lisa Grant Orthodontics
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Apr 26, 2013
Last Updated: Apr 26, 2013

Practice Location

Address: 18243 HARWOOD AVE
City: Homewood
State: Illinois
ZIP Code: 60430-2149
Phone: (708) 799-3030

Authorized Official

Name: DR. LISA HOPE GRANT, D.D.S. M.S
Title: DOCTOR/OWNER
Phone: (708) 700-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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