GRANT QUAN LOO

MARTINEZ, GA
NPI1972667806
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  10962)
Enumeration Date2006-12-22
Last Update Date2012-07-11
Business Address
-- GRANT QUAN LOO dmd
224 BASTON RD
MARTINEZ, GA 30907-2976
Phone number: 706-868-1722
Mailing Address
-- GRANT QUAN LOO dmd
224 BASTON RD
MARTINEZ, GA 30907-2976
Phone number: 706-868-1722
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