SCOTT WILLIAM GRANT

MERIDIAN, ID
NPI1194898767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-3981)
Enumeration Date2006-11-15
Last Update Date2014-07-29
Business Address
-- SCOTT WILLIAM GRANT DMD
2275 S EAGLE RD STE 140
MERIDIAN, ID 83642-2620
Phone number: 208-938-3190
Mailing Address
-- SCOTT WILLIAM GRANT DMD
2275 S EAGLE RD STE 140
MERIDIAN, ID 83642-2620
Phone number: 208-938-3190
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