| NPI | 1083509731 |
|---|---|
| Doing Business As | GRAND DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | LOGAN B. FOUTZ Manager 801-319-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |