GRANT SEVERS

QUINCY, IL
NPI1144955790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: IL  021.003157)
Enumeration Date2022-07-18
Last Update Date2023-11-08
Business Address
DR. GRANT SEVERS DMD MS
3915 MAINE ST STE 2
QUINCY, IL 62305-5843
Phone number: 217-919-5008
Mailing Address
DR. GRANT SEVERS DMD MS
200 N 30TH ST
QUINCY, IL 62301-3737
Phone number:
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