DR. Vanisia Grant
NPI #1689801177 in Sumterville, Florida
Provider Information
- NPI Number
- 1689801177
- Entity Type
- Individual
- Name
- DR. Vanisia Grant
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 11, 2009
- Last Updated
- Jan 4, 2013
Practice Location
- Address
- 1389 S US 301
- City
- Sumterville
- State
- Florida
- ZIP Code
- 33585-5143
- Phone
- (352) 793-5900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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