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Grand Dental Studio Llc
Dental Clinic/Center in Springfield, Missouri
NPI 1992432447

Grand Dental Studio Llc is a Dental Clinic/Center based in Springfield, MO and is specialized in Dental. Grand Dental Studio Llc practices in Springfield, MO. The NPI Number for Grand Dental Studio Llc is 1992432447 and holds a License No. (Missouri).

The current practice location address for Grand Dental Studio Llc is 948 S Jefferson Ave, Springfield, MO and can be reached out via phone at 417-861-8876.

Location: 948 S Jefferson Ave, Springfield, MO, 65806-3204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992432447
Provider Name
Grand Dental Studio Llc
Credential
Provider Entity Type
Organization
Address
948 S Jefferson Ave, Springfield, MO, 65806-3204
Phone Number
417-861-8876
Fax Number
Provider Enumeration Date
08/04/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
948 S Jefferson Ave
City
Springfield
State
Missouri
Zip
65806-3204
Phone Number
417-861-8876
Fax Number
person
Provider Business Mailing Address Details
Address
948 S Jefferson Ave
City
Springfield
State
Missouri
Zip
65806-3204
Phone Number
417-861-8876
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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