DR. Beverly Granger, D.D.S.

NPI #1326388265 in Glen Cove, New York

Provider Information

NPI Number: 1326388265
Entity Type: Individual
Name: DR. Beverly Granger, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Feb 28, 2013
Last Updated: Feb 28, 2013

Practice Location

Address: 90 WALNUT RD
City: Glen Cove
State: New York
ZIP Code: 11542-2616
Phone: (516) 676-4610

Specialties & Taxonomy Codes

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

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