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1184775223
LARRY GRANT
DALTON, GA
NPI
1184775223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 7568)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- LARRY GRANT
602 MAIN ST
DALTON, GA 30720-8739
Phone number: 706-226-1304
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Mailing Address
-- LARRY GRANT
602 MAIN ST
DALTON, GA 30720-8739
Phone number:
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