Grant and Pham Dental Corporation
NPI #1457588055 in Lakeside, California
Provider Information
- NPI Number
- 1457588055
- Entity Type
- Organization
- Organization Name
- Grant and Pham Dental Corporation
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jun 22, 2009
- Last Updated
- Jul 13, 2009
Practice Location
- Address
- 9710 WINTER GARDENS BLVD
- City
- Lakeside
- State
- California
- ZIP Code
- 92040-3866
- Phone
- (619) 443-8447
Authorized Official
- Name
- RICHARD GRANT
- Title
- OWNER
- Phone
- (858) 205-3872
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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