| Grant H Service Dds Pa | |
|
2711 N Duke St Suite B Durham NC 27704-2619 | |
| (919) 220-6553 | |
| (919) 220-2682 |
| Full Name | Grant H Service Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2711 N Duke St, Durham, North Carolina |
| Authorized Official Name and Position | Grant Hooper Service (OWNER) |
| Authorized Official Contact | 9192206553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant H Service Dds Pa 2711 N Duke St Suite B Durham NC 27704-2619 Ph: (919) 220-6553 | Grant H Service Dds Pa 2711 N Duke St Suite B Durham NC 27704-2619 Ph: (919) 220-6553 |
| NPI Number | 1194997122 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194997122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6383 (North Carolina) | Primary |
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