Organization · Type 2 NPI
Grandpas Dental Center LLC
Dental Clinic/Center · Orem, UT
NPI number
1760819924
Active
Practice location
294 W 800 N
Orem, UT 84057-3858
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1760819924
Grandpas Dental Center LLC's National Provider Identifier is 1760819924, issued on Oct 2, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Orem, UT. The record was last updated on Oct 2, 2013.