Ma Dental

NPI #1669958740 in Lynn Haven, Florida

Provider Information

NPI Number: 1669958740
Entity Type: Organization
Organization Name: Ma Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 12, 2018
Last Updated: Jul 12, 2018

Practice Location

Address: 530 FLORIDA AVENUE
City: Lynn Haven
State: Florida
ZIP Code: 32444-1736
Phone: (850) 271-2341

Authorized Official

Name: DR. MICHAEL SCOTT GRANDY, DMD
Title: DENTIST/OWNER
Phone: (850) 271-2341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - General Practice — General Practice	1223G0001X	Primary

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