Organization · Type 2 NPI

Grinnell Street Dental Group

General Practice Dentistry · Sheridan, WY

NPI number 1194084897 Active

About NPI 1194084897

Grinnell Street Dental Group's National Provider Identifier is 1194084897, issued on May 15, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sheridan, WY. The record was last updated on May 15, 2012.