Brandon L Grantham DDS PA
NPI #1881063105 in Copperas Cove, Texas
Provider Information
- NPI Number
- 1881063105
- Entity Type
- Organization
- Organization Name
- Brandon L Grantham DDS PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 16, 2015
- Last Updated
- Oct 25, 2018
Practice Location
- Address
- 1801 PATRIOT CIRCLE
- City
- Copperas Cove
- State
- Texas
- ZIP Code
- 76522
- Phone
- (254) 547-6453
Authorized Official
- Name
- DR. BRANDON L GRANTHAM, DDS
- Title
- OWNER
- Phone
- (254) 547-6453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Clinic/Center - Dental — Dental |
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