Grand Terrace Modern Dentistry, INC
NPI #1952291593 in Grand Terrace, California
Provider Information
- NPI Number
- 1952291593
- Entity Type
- Organization
- Organization Name
- Grand Terrace Modern Dentistry, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 7, 2025
- Last Updated
- Jul 7, 2025
Practice Location
- Address
- 22471 BARTON RD
- City
- Grand Terrace
- State
- California
- ZIP Code
- 92313-5008
- Phone
- (909) 657-9498
Authorized Official
- Name
- CHRISTOPHER WALTERS
- Title
- OWNER
- Phone
- (714) 845-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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