Organization · Type 2 NPI

Grand Canyon Mobile Dentistry

General Practice Dentistry · Baton Rouge, LA

NPI number 1205372893 Active

About NPI 1205372893

Grand Canyon Mobile Dentistry's National Provider Identifier is 1205372893, issued on Jan 6, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Baton Rouge, LA. The record was last updated on Jan 6, 2017.