STEPHEN B GRANDY

POCATELLO, ID
NPI1407261407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4593)
Enumeration Date2014-06-27
Last Update Date2023-03-07
Business Address
Dr. STEPHEN B GRANDY DDS
465 MEMORIAL DRIVE
POCATELLO, ID 83209-0000
Phone number: 208-282-3289
Mailing Address
Dr. STEPHEN B GRANDY DDS
465 MEMORIAL DR
POCATELLO, ID 83209-0001
Phone number: 208-282-3289
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