| NPI | 1477218964 |
|---|---|
| Doing Business As | SUNDANCE DENTAL CARE OF GRANTS |
| Entity Type | Organization |
| Authorized Contact | PETER GRUMBOS Dentist/Owner 505-722-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |