Grant Liske Dds Pc | |
330 9th St Ramona CA 92065-2321 | |
(760) 789-9500 | |
(760) 789-5179 |
Full Name | Grant Liske Dds Pc |
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Speciality | Dentist - General Practice |
Location | 330 9th St, Ramona, California |
Authorized Official Name and Position | Grant Liske (OWNER) |
Authorized Official Contact | 7607899500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Grant Liske Dds Pc 330 9th St Ramona CA 92065-2321 Ph: (760) 789-9500 | Grant Liske Dds Pc 330 9th St Ramona CA 92065-2321 Ph: (760) 789-9500 |
NPI Number | 1386277374 |
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Provider Enumeration Date | 02/18/2020 |
Last Update Date | 02/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386277374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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