Griselda Gonzalez Granados

NPI #1356891329 in La Jolla, California

Provider Information

NPI Number: 1356891329
Entity Type: Organization
Organization Name: Griselda Gonzalez Granados
Primary Specialty: Dentist
Enumeration Date: Oct 13, 2016
Last Updated: Oct 13, 2016

Practice Location

Address: 4275 EXECUTIVE SQ STE 200
City: La Jolla
State: California
ZIP Code: 92037-1476
Phone: (800) 743-3900

Authorized Official

Name: DR. GRISELDA GONZALEZ GRANADOS, D.D.S
Title: DENTIAT
Phone: (800) 743-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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