Grant and Pham Dental Corporation
Grant and Pham Dental Corporation provides Pediatric Dentistry in Lakeside, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
9710 Winter Gardens BlvdLakeside, CA 92040-3866 Not confirmed with CMS for 17 years — call before visiting
Phone: (619) 443-8447
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 51412 (CA) |
|---|---|
| Pediatric Dentistry | Taxonomy 1223P0221X · Licence 52916 (CA) |
Record details
| NPI number | 1457588055 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Grant — Owner · (858) 205-3872 |
| NPI enumerated | June 22, 2009 |
| Last updated in NPPES | July 13, 2009 |
| Mailing address | 9710 Winter Gardens Blvd, Lakeside, CA 92040-3866 |