NICOLE DOMINIQUE GRANT

LONGVIEW, WA
NPI1497197941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE60396563)
Enumeration Date2013-07-25
Last Update Date2016-08-22
Business Address
-- NICOLE DOMINIQUE GRANT DMD
1461 BROADWAY ST APT A
LONGVIEW, WA 98632-3724
Phone number: 855-433-6825
Mailing Address
-- NICOLE DOMINIQUE GRANT DMD
6950 NE CAMPUS WAY
HILLSBORO, OR 97124-5611
Phone number: 425-293-8593
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