NPI | 1053377242 |
---|---|
Doing Business As | GROUT FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEFFREY GROUT President 303-918-7752 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CO 3753) |
Enumeration Date | 2006-04-25 |
Last Update Date | 2018-01-11 |