Granger, Kelly
Granger, Kelly is an sole proprietor health care provider with primary practice located at 80 E Jefferson St Ste 400B , Falls Church VA 22046-3569. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Granger, Kelly can be contacted via phone (703) 241-5437.Contact Information
Primary practice address
80 E Jefferson St Ste 400B
Falls Church VA 22046-3569
Phone: (703) 241-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DEN2000111 | District of Columbia |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 17330 | Maryland |
Profile Details
| NPI number | 1497489744 |
|---|---|
| LBN Legal business name | Granger, Kelly |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2022 |
| Last updated | Jul 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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