| NPI | 1689047904 |
|---|---|
| Doing Business As | GRANT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SCOTT W. GRANT President 208-888-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2020-10-22 |