| Grandpas Dental Care Inc. | |
|
53 W 10600 S Sandy UT 84070-4160 | |
| (801) 576-1444 | |
| (801) 576-1464 |
| Full Name | Grandpas Dental Care Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 53 W 10600 S, Sandy, Utah |
| Authorized Official Name and Position | Jonas Mr Filho (PRESIDENT) |
| Authorized Official Contact | 8015761444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandpas Dental Care Inc. 53 W 10600 S Sandy UT 84070-4160 Ph: (801) 576-1444 | Grandpas Dental Care Inc. 53 W 10600 S Sandy UT 84070-4160 Ph: (801) 576-1444 |
| NPI Number | 1225340698 |
|---|---|
| Provider Enumeration Date | 07/13/2010 |
| Last Update Date | 07/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225340698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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