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1215364476
GRANDPAS DENTAL CARE OF UTAH LLC
SANDY, UT
NPI
1215364476
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Entity Type
Organization
Authorized Contact
JESSICA RODRIGUES
Member
801-576-1444
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2013-10-02
Last Update Date
2013-10-02
Business Address
GRANDPAS DENTAL CARE OF UTAH LLC
53 W 10600 S
SANDY, UT 84070-4160
Phone number: 801-576-1444
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Mailing Address
GRANDPAS DENTAL CARE OF UTAH LLC
53 W 10600 S
SANDY, UT 84070-4160
Phone number: 801-576-1444
Copy
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