| Grandpas Dental Center Llc | |
|
294 W 800 N Orem UT 84057-3858 | |
| (801) 374-5200 | |
| Not Available |
| Full Name | Grandpas Dental Center Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 294 W 800 N, Orem, Utah |
| Authorized Official Name and Position | Marcelo Abatti (MEMBER) |
| Authorized Official Contact | 8013745200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandpas Dental Center Llc 294 W 800 N Orem UT 84057-3858 Ph: (801) 374-5200 | Grandpas Dental Center Llc 294 W 800 N Orem UT 84057-3858 Ph: (801) 374-5200 |
| NPI Number | 1760819924 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760819924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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