person
Grant Matsuura
Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah
NPI 1386064079

Grant Matsuura is a Student in an Organized Health Care Education/Training Program based in Murray, UT. Grant Matsuura practices in Salt Lake City, UT. The NPI Number for Grant Matsuura is 1386064079 and holds a License No. 9291145-9922 (Utah).

The current practice location address for Grant Matsuura is 26 S 2000 E Suite 5900, Salt Lake City, UT and can be reached out via phone at 801-581-8951.

Location: 26 S 2000 E Suite 5900, Salt Lake City, UT, 84107-6552
person
Provider Profile Details
NPI Number
1386064079
Provider Name
Grant Matsuura
Credential
Provider Entity Type
Individual
Gender
Male
Address
26 S 2000 E Suite 5900, Salt Lake City, UT, 84107-6552
Phone Number
801-581-8951
Fax Number
Provider Enumeration Date
04/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
26 S 2000 E Suite 5900
City
State
Zip
84112
Phone Number
801-581-8951
Fax Number
person
Provider Business Mailing Address Details
Address
26 S 2000 E Suite 5900
City
State
Zip
84112
Phone Number
801-581-8951
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
9291145-9922 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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