| NPI | 1285351254 |
|---|---|
| Doing Business As | GRANGER DENTAL & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | RONALD C ABARO Chief Medical Officer 574-221-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2023-02-02 |