| NPI | 1255627832 |
|---|---|
| Doing Business As | GRANBY DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | ANDREW W BURNS President 970-887-3832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9577) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2021-05-17 |