| NPI | 1972238509 |
|---|---|
| Doing Business As | GRANT DENTAL PLAZA |
| Entity Type | Organization |
| Authorized Contact | THOMAS ANDREW JORDAN Owner 701-367-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |