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1548685266
GENESIS DENTAL OF GRANGER
WEST VALLEY CITY, UT
NPI
1548685266
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Entity Type
Organization
Authorized Contact
JASON D CASTO
Member/Owner
801-870-0625
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2014-03-04
Last Update Date
2024-03-26
Business Address
GENESIS DENTAL OF GRANGER
3725 W 4100 S SUITE 240
WEST VALLEY CITY, UT 84120-5530
Phone number: 801-965-2700
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Mailing Address
GENESIS DENTAL OF GRANGER
12180 S 300 E UNIT 270
DRAPER, UT 84020-2612
Phone number: 801-870-0625
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