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Granger Pediatric Dentistry
Dental Clinic/Center in West Valley City, Utah
NPI 1154637825

Granger Pediatric Dentistry is a Dental Clinic/Center based in Salt Lake City, UT and is specialized in Dental. Granger Pediatric Dentistry practices in West Valley City, UT. The NPI Number for Granger Pediatric Dentistry is 1154637825 and holds a License No. 360305-9923 (Utah).

The current practice location address for Granger Pediatric Dentistry is 3725 W. 4100 S., West Valley City, UT and can be reached out via phone at 801-969-8881 and via fax at 801-969-8889.

Location: 3725 W. 4100 S., West Valley City, UT, 84118-0430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154637825
Provider Name
Granger Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
3725 W. 4100 S., West Valley City, UT, 84118-0430
Phone Number
801-969-8881
Fax Number
801-969-8889
Provider Enumeration Date
08/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
526155793003 05 UT
institution
Provider Business Practice Location Address Details
Address
3725 W. 4100 S.
City
West Valley City
State
Utah
Zip
84120
Phone Number
801-969-8881
Fax Number
801-969-8889
person
Provider Business Mailing Address Details
Address
3725 W. 4100 S.
City
West Valley City
State
Utah
Zip
84120
Phone Number
801-969-8881
Fax Number
801-969-8889
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
360305-9923 (Utah)
Definition
Definition to come...
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