| NPI | 1609149533 |
|---|---|
| Doing Business As | GRAND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | KENDALL SHERRON WOOLRIDGE Owner/Dentist 310-648-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 57096) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2021-10-05 |