| NPI | 1992464770 |
|---|---|
| Doing Business As | GRANDVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER BUEGE President 715-441-6146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |