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General NPI Number Information
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NPI Number | 1336556521
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Entity Type | Organization
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Legal Business Name | BELINDA S. GRANADA DDS, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/20/2014
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 14369 CLARK AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-2901
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Country | US
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Telephone | 562-804-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 14369 CLARK AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-2901
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Country | US
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Telephone | 562-804-7777
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BELINDA S GRANADA
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Credential | DDS
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Telephone | 562-804-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 40010
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License Number State | CA
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