Granite Springs Dentistry, LLC

NPI #1033476239 in Cheyenne, Wyoming

Provider Information

NPI Number
1033476239
Entity Type
Organization
Organization Name
Granite Springs Dentistry, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 12, 2012
Last Updated
Apr 7, 2014

Practice Location

Address
2316 DELL RANGE BLVD
State
Wyoming
ZIP Code
82009-5191
Phone
(720) 670-0798

Authorized Official

Name
DR. MERRILL BASSETT, DDS
Title
OWNER
Phone
(720) 670-0798

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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