| Granting Grins, Llc | |
|
15908 Crain Hwy Unit D Brandywine MD 20613-8032 | |
| (202) 285-6601 | |
| Not Available |
| Full Name | Granting Grins, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15908 Crain Hwy Unit D, Brandywine, Maryland |
| Authorized Official Name and Position | Adrienne Nichole Grant (DENTIST) |
| Authorized Official Contact | 2022856601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granting Grins, Llc 12205 Authur Ct Brandywine MD 20613-5757 Ph: (240) 351-0279 | Granting Grins, Llc 15908 Crain Hwy Unit D Brandywine MD 20613-8032 Ph: (202) 285-6601 |
| NPI Number | 1770331589 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770331589 | NPI | - | NPPES |
| 16122 | Other | MD | DENTAL LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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