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1164523213
WILLIAM B GRAND
MANDEVILLE, LA
NPI
1164523213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5106)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Mr. WILLIAM B GRAND D.D.S.
2083 3RD ST
MANDEVILLE, LA 70471-6426
Phone number: 985-624-8602
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Mailing Address
Mr. WILLIAM B GRAND D.D.S.
2083 3RD ST
MANDEVILLE, LA 70471-6426
Phone number: 985-624-8602
Copy
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