| NPI | 1356891329 |
|---|---|
| Doing Business As | GRISELDA GONZALEZ GRANADOS |
| Entity Type | Organization |
| Authorized Contact | GRISELDA GONZALEZ GRANADOS Dentiat 800-743-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 2172627) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |