| NPI | 1992361877 |
|---|---|
| Doing Business As | GRANDVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BENTLEY Owner 303-400-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |