NPI | 1922819820 |
---|---|
Doing Business As | GRUNDY DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | JAMES GRUNDY Dentist 208-322-7478 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-01-20 |
Last Update Date | 2025-06-02 |