| NPI | 1609492750 |
|---|---|
| Doing Business As | GRANTS FERRY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ERIN GREEN Owner 601-850-2145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |