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1376766956
BENJAMIN HOWARD GRANT
DECATUR, GA
NPI
1376766956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 6532)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. BENJAMIN HOWARD GRANT
3744 LAVISTA RD SUITE B
DECATUR, GA 30033-1006
Phone number: 404-634-2205
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Mailing Address
Dr. BENJAMIN HOWARD GRANT
3744 LAVISTA RD SUITE B
DECATUR, GA 30033-1006
Phone number: 404-634-2205
Copy
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