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Marlia Sandra Granigan, DMD
Student in an Organized Health Care Education/Training Program in Rockland, Massachusetts
NPI 1316505902

Marlia Sandra Granigan is a Student in an Organized Health Care Education/Training Program based in Rockland, MA. Marlia Sandra Granigan practices in Rockland, MA and has the professional credentials of DMD. The NPI Number for Marlia Sandra Granigan is 1316505902 and holds a License No. (Massachusetts).

The current practice location address for Marlia Sandra Granigan is 64 Moncrief Rd, Rockland, MA and can be reached out via phone at 781-974-8694. You can also correspond with Marlia Sandra Granigan through the mailing address at 64 MONCRIEF RD, ROCKLAND, MA - 02370-1528 (mailing address contact number: 781-974-8694).

Location: 64 Moncrief Rd, Rockland, MA, 02370-1528
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316505902
Provider Name
Marlia Sandra Granigan
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
64 Moncrief Rd, Rockland, MA, 02370-1528
Phone Number
781-974-8694
Fax Number
Provider Enumeration Date
05/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000 01 MA DMD
institution
Provider Business Practice Location Address Details
Address
64 Moncrief Rd
City
Rockland
State
Massachusetts
Zip
02370-1528
Phone Number
781-974-8694
Fax Number
person
Provider Business Mailing Address Details
Address
64 Moncrief Rd
City
Rockland
State
Massachusetts
Zip
02370-1528
Phone Number
781-974-8694
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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