Search › Washington › 122300000X
Nicole Grant, DMD
NPI 1497197941 · on the registry since 2013
Practice
- Address
- 1461 Broadway St Apt A
Longview, WA 98632 - Phone
- (855) 433-6825
- Organisation at this address
- Willamette Dental Group, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington