DR. Brandon Grantham, DDS

NPI #1790849248 in Copperas Cove, Texas

Provider Information

NPI Number: 1790849248
Entity Type: Individual
Name: DR. Brandon Grantham, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 20, 2006
Last Updated: Oct 25, 2018

Practice Location

Address: 1801 PATRIOT CIRCLE
City: Copperas Cove
State: Texas
ZIP Code: 76522
Phone: (254) 547-6453

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist	122300000X	Primary

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