Trail View Dental LLC
NPI #1093458945 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1093458945
- Entity Type
- Organization
- Organization Name
- Trail View Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 19, 2022
- Last Updated
- Apr 19, 2022
Practice Location
- Address
- 2916 W STOLLEY PARK RD STE A
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68801-6808
- Phone
- (308) 380-7622
Authorized Official
- Name
- DR. JORY T CROUCH, DDS
- Title
- OWNER/DENTIST
- Phone
- (308) 380-7622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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