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1154460228
RICHARD GRANT
SAN DIEGO, CA
NPI
1154460228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 51412)
Enumeration Date
2007-02-06
Last Update Date
2007-07-08
Business Address
-- RICHARD GRANT D.D.S.,M.S.
12395 EL CAMINO REAL SUITE 218
SAN DIEGO, CA 92130-3082
Phone number: 858-755-1515
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Mailing Address
-- RICHARD GRANT D.D.S.,M.S.
12374 CARMEL COUNTRY RD H310
SAN DIEGO, CA 92130-4523
Phone number: 858-205-3872
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