| NPI | 1841369287 |
|---|---|
| Professional Name | E. DAVID GRANUM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR 5833) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA 8268) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2015-05-27 |