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1578248092
GRANT DMSO LLC
TUCSON, AZ
NPI
1578248092
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Entity Type
Organization
Authorized Contact
BRANDON DHAENENS
Manager
520-372-9999
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
GRANT DMSO LLC
6288 E GRANT RD
TUCSON, AZ 85712-5831
Phone number: 520-372-9999
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Mailing Address
GRANT DMSO LLC
6288 E GRANT RD
TUCSON, AZ 85712-5831
Phone number: 702-525-4500
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