| NPI | 1497389373 |
|---|---|
| Doing Business As | GRAND DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DORCY NORTON Office Manager 760-716-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |