Organization · Type 2 NPI
Granger Pediatric Dentistry
Dental Clinic/Center · West Valley City, UT
NPI number
1154637825
Active
Practice location
Granger Pediatric Dentistry, 3535 S Market Street Suite #145
West Valley City, UT 84119-3637
Fax (801) 969-8889
Mailing address
Granger Pediatric Dentistry, P.o. Box 18430
Salt Lake City, UT 84118-0430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 360305-9923 (UT) |
Dental Clinic/Center: Definition to come...
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About NPI 1154637825
Granger Pediatric Dentistry's National Provider Identifier is 1154637825, issued on Aug 19, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in West Valley City, UT. The record was last updated on Mar 21, 2025.