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1225156391
GRAND FAMILY DENTISTRY. COM
MANDEVILLE, LA
NPI
1225156391
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Entity Type
Organization
Authorized Contact
WILLIAM BRADLEY GRAND
President
985-778-0096
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: LA 122300000X)
Enumeration Date
2007-03-27
Last Update Date
2016-10-17
Business Address
GRAND FAMILY DENTISTRY. COM
2083 3RD ST
MANDEVILLE, LA 70471-6426
Phone number: 985-231-5796
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Mailing Address
GRAND FAMILY DENTISTRY. COM
700 ASBURY DR
MANDEVILLE, LA 70471-1844
Phone number: 985-231-5796
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