ERIC GRANQUIST, DMD
Oral & Maxillofacial Surgery
Active
Individual
NPI: 1922291335
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Oral and Maxillofacial Surgery | 1223S0112X | No | DS036793 (PA) |
| Oral & Maxillofacial Surgery | 204E00000X | Yes | MD439011 (PA) |
Frequently Asked Questions
NPI 1922291335 is the National Provider Identifier for ERIC GRANQUIST, DMD, a Oral & Maxillofacial Surgery provider located in Philadelphia, PA. This NPI was enumerated on August 20, 2007.
ERIC GRANQUIST, DMD practices at 3400 SPRUCE ST, 5TH FLOOR WHITE BLD, Philadelphia, PA 19104.
Quick Facts
- NPI
- 1922291335
- Type
- Individual
- Enumerated
- Aug 20, 2007
- Last Updated
- Jul 25, 2023
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